Individual
ASHLEY NICOLE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 SUMMER RD, ARDMORE, OK 73401-8352
(580) 677-5085
Mailing address
PO BOX 1473, ARDMORE, OK 73402-1473
(580) 677-5085
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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