Individual
MRS. REGINA LYNN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBP
Contact information
Practice address
1001 W MAIN ST, DURANT, OK 74701-5038
(580) 924-7330
(580) 924-2739
Mailing address
2415 MONTE CRISTO DR, SHERMAN, TX 75092-2325
(580) 924-7330
(580) 924-2739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0017
OK
Other
Enumeration date
06/08/2007
Last updated
07/09/2007
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