Individual
MS. TONYA LEANN GARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 NE 2ND ST, ANTLERS, OK 74523-2802
(580) 579-8514
Mailing address
907 NE 2ND ST, ANTLERS, OK 74523-2802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
06/12/2012
Last updated
04/26/2016
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