Individual
MARIAN REBECCA (BECKY) BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N LELIA ST, GUYMON, OK 73942-4829
(580) 527-1147
Mailing address
PO BOX 2471, GUYMON, OK 73942-2471
(580) 527-1147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BBECKER1
—
OK
Enumeration date
07/29/2021
Last updated
07/29/2021
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