Individual
MRS. AMBER DAWN MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N MAIN ST, BRISTOW, OK 74010-2015
(918) 367-5555
Mailing address
420 N MAIN ST, BRISTOW, OK 74010-2015
(918) 367-5555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5136
OK
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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