Individual
ROXIE R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 N MAIN ST STE M12, ALTUS, OK 73521-3149
(580) 379-0677
(580) 482-0008
Mailing address
1116 N MAIN ST STE M12, ALTUS, OK 73521-3149
(580) 379-0677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
08/26/2021
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