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1568700441
LATASHA DANYELL MATHEWS
LAWTON, OK
NPI
1568700441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
Ms. LATASHA DANYELL MATHEWS
1817 W GORE BLVD
LAWTON, OK 73501-3614
Phone number: 580-357-3857
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Mailing Address
Ms. LATASHA DANYELL MATHEWS
1817 W GORE BLVD
LAWTON, OK 73501-3614
Phone number: 580-357-3857
Copy