Individual
MICHELLE LEIGH NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 64 BOX 3095, FT TOWSON, OK 74735-9670
(580) 271-1172
Mailing address
HC 64 BOX 3095, FT TOWSON, OK 74735-9670
(580) 271-1172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
06/12/2012
Last updated
06/12/2012
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