Individual
MRS. ANDREA GAIL HEILIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17794 SOUTH 580 ROAD, FAIRLAND, OK 74343
(918) 452-3335
Mailing address
PO BOX 412, FAIRLAND, OK 74343-0412
(918) 541-4539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S081307288
OK
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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