Anedtra M Haynes

NPI #1629339080 in Edmond, Oklahoma

Provider Information

NPI Number: 1629339080
Entity Type: Individual
Name: Anedtra M Haynes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 1, 2012
Last Updated: Jun 1, 2012

Practice Location

Address: 1621 NW 150TH TER
City: Edmond
State: Oklahoma
ZIP Code: 73013-1653
Phone: (405) 752-9952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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