Individual
MRS. JEAN ANN WYBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.T.A.
Contact information
Practice address
405 SOUTH COLLINS STREET, PALO DURO NURSING HOME, CLAUDE, TX 79019
(806) 226-2029
Mailing address
4427 S LIPSCOMB ST, AMARILLO, TX 79110-2035
(806) 676-6962
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209282
TX
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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