Individual
CHESTER L HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
15949 US HIGHWAY 271, SPIRO, OK 74959-5276
(918) 839-1743
Mailing address
16603 US HIGHWAY 271, SPIRO, OK 74959-5284
(602) 686-3662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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