Organization
OLUSTEE-ELDORADO PUBLIC SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MELVIN HAZEL (SUPERINTENDENT)
(580) 648-2243
Entity
Organization
Contact information
Practice address
606 E. 6TH STREET, OLUSTEE, OK 73560-0070
(580) 648-2243
(580) 648-2501
Mailing address
PO BOX 70, OLUSTEE, OK 73560-0070
(580) 648-2243
(580) 648-2501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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