MICHAEL LASHANE HOLT

TAHLEQUAH, OK
NPI1629728464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0401X Family Medicine, Addiction Medicine
(Licence: OK  205318)
Enumeration Date2022-03-25
Last Update Date2022-03-29
Business Address
Mr. MICHAEL LASHANE HOLT APRN
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-458-2444
Mailing Address
Mr. MICHAEL LASHANE HOLT APRN
11024 W 835 RD
FORT GIBSON, OK 74434-6340
Phone number: 918-616-1111
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