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Individual

ELENA MACKEY SOMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2604 W RANDOLPH AVE, ENID, OK 73703-4031
(580) 366-7900
Mailing address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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