Halle Madison Hannon

NPI #1891512588 in Mustang, Oklahoma

Provider Information

NPI Number: 1891512588
Entity Type: Individual
Name: Halle Madison Hannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 24, 2024
Last Updated: Sep 24, 2024

Practice Location

Address: 1426 W ONYX WAY
City: Mustang
State: Oklahoma
ZIP Code: 73064-2068
Phone: (405) 639-9031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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