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Individual

HEATHER HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
316 E 8TH ST, OKMULGEE, OK 74447-4616
(918) 758-2000
Mailing address
10359 S NATHAN ST, JENKS, OK 74037-1839
(817) 454-4008

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/02/2017
Last updated
07/02/2017
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