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Individual

KATY DAYNE HEDGECOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
662 E COURT ST, ATOKA, OK 74525-3016
(580) 364-0606
(580) 364-0866
Mailing address
662 E COURT ST, ATOKA, OK 74525-3016
(580) 364-0606
(580) 364-0866

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
09/28/2015
Last updated
01/05/2021
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