Individual
JOHNNA HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S 4TH ST, STE E, CHICKASHA, OK 73018-3460
(405) 222-8268
Mailing address
210 S 4TH ST, STE E, CHICKASHA, OK 73018-3460
(405) 222-8268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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