Individual
AMATULA KHABIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 SE 4TH ST, # 22, PERKINS, OK 74059
(405) 476-0038
Mailing address
413 SE 4TH ST, # 22, PERKINS, OK 74059-3449
(405) 476-0038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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