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Individual

MRS. LANISHA HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 235-7537
(405) 528-5754
Mailing address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 235-7537
(405) 528-5754

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100742400
OK
Enumeration date
12/02/2008
Last updated
03/19/2013
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