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Individual

HOLLYE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
476670 E 1050 RD, MULDROW, OK 74948-5073
(918) 798-2802
Mailing address
PO BOX 1424, TAHLEQUAH, OK 74465-1424

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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