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Individual

MRS. AMANDA GAIL KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 740-7231
Mailing address
1002 S CHUCKWAGON DR, MUSTANG, OK 73064-2607

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3238
OK

Other

Enumeration date
02/25/2019
Last updated
02/25/2019
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