Individual
MILLY EMA ABONGO LONTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 W KENT ST, BROKEN ARROW, OK 74012-8753
(918) 851-7436
Mailing address
4105 W KENT ST, BROKEN ARROW, OK 74012-8753
(918) 851-7436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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