Individual
ELAINE LYNNELL HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28998 S 4342 DR, VINITA, OK 74301-5013
(928) 660-2901
Mailing address
28998 S 4342 DR, VINITA, OK 74301-5013
(928) 660-2901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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