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Individual

MS. TERESA DAWN SUMKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
32079 COUNTY STREET 2530, FORT COBB, OK 73038-9699
(539) 577-8480
Mailing address
32079 COUNTY STREET 2530, FORT COBB, OK 73038-9699
(539) 577-8480

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/22/2024
Last updated
11/22/2024
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