Individual
HALEY RENEE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 W 3RD ST, ELK CITY, OK 73644-4324
(580) 243-0939
Mailing address
PO BOX 451, ELK CITY, OK 73648-0451
(802) 430-9395
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1318
OK
390200000X
Student in an Organized Health Care Education/Training Program
001318
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001318
OKLAHOMA STATE DEPARTMENT OF HEALTH HEARING AID DEALER AND FITTER
OK
Enumeration date
01/12/2021
Last updated
09/21/2021
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