SAMANTHA LANE

GROVE, OK
NPI1043766645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  3144)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
Ms. SAMANTHA LANE SLP
1046 HILLSIDE ROAD
GROVE, OK 74344
Phone number: 918-801-8681
Mailing Address
Ms. SAMANTHA LANE SLP
1046 HILLSIDE RD
GROVE, OK 74344-3514
Phone number: 918-801-8681
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