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Individual

ASHLEY MISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2530 S COMMERCE ST, BUILDING C, ARDMORE, OK 73401-5519
(580) 226-5048
Mailing address
2530 S COMMERCE ST, BUILDING C, ARDMORE, OK 73401-5519

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100728830
OK
Enumeration date
10/17/2016
Last updated
10/17/2016
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