NPI 1801919964

T Leader

Practitioner Driver Chickasha, OK

Practice location

Address: 1624 S 19th St, Chickasha, OK 73018-5318
Phone: (000) 000-0000

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1801919964
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.