Individual
CAROL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5912 HIGHWAY 70 EAST, MEAD, OK 73449
(580) 745-9083
(580) 745-9885
Mailing address
PO BOX 48, MEAD, OK 73449-0048
(580) 745-9610
(580) 745-9650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
10/30/2012
Last updated
10/30/2012
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