Individual
MAKENZIE RAE PERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 BLACK BIRD LN, ARDMORE, OK 73401-7430
(580) 465-1653
Mailing address
256 BLACK BIRD LN, ARDMORE, OK 73401-7430
(580) 465-1653
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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