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Autumn Anthony
NPI 1760078653 · on the registry since 2020 · sole proprietor
Practice
- Address
- 408 Nw Pontotoc St
Minco, OK 73059 - Phone
- (405) 414-0179
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma