Individual
LARISHA WABAUNASEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MEMORIAL LANE, BINGER, OK 73009
(405) 656-2344
Mailing address
PO BOX 487, BINGER, OK 73009-0487
(572) 226-0059
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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