Individual
PAMELA D. RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 N NOBLE AVE, WATONGA, OK 73772-1207
(580) 603-1873
Mailing address
1317 N NOBLE AVE, WATONGA, OK 73772-1207
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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