Individual
PATTY LEA IMHOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
472555 E 1070 RD, MULDROW, OK 74948-6683
(479) 806-4966
Mailing address
472555 E 1070 RD, MULDROW, OK 74948-6683
(479) 806-4966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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