Individual
AMANDA HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 214-7126
Mailing address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 214-7126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55147
OK
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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