Misty Henson

NPI #1780103796 in Muldrow, Oklahoma

Provider Information

NPI Number: 1780103796
Entity Type: Individual
Name: Misty Henson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Sep 12, 2017
Last Updated: Sep 12, 2017

Practice Location

Address: 476490 E 1060 RD
City: Muldrow
State: Oklahoma
ZIP Code: 74948-5159
Phone: (918) 427-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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