Individual
HANNAH MENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 NW 32ND ST, LAWTON, OK 73505-5107
(580) 284-3936
Mailing address
712 NW 32ND ST, LAWTON, OK 73505-5107
(580) 284-3936
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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