Individual
THOBO LETSHABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 323-6021
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3166
OK
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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