Individual
LYNDA GAYLE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12552 NE KING RD, FLETCHER, OK 73541-5250
(580) 574-9225
Mailing address
12552 NE KING RD, FLETCHER, OK 73541-5250
(580) 574-9225
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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