Individual
MR. LONNIE TYLER HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.MICROBIOLOGY
Contact information
Practice address
1100 W MAIN ST, TECUMSEH, OK 74873-4429
(325) 513-9226
Mailing address
1100 W MAIN ST, TECUMSEH, OK 74873-4429
(325) 513-9226
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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