PHYLLIS DECARNELLE HANNAH

ADA, OK
NPI1740259407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  MO - 10627)
Enumeration Date2006-03-15
Last Update Date2022-07-21
Business Address
-- PHYLLIS DECARNELLE HANNAH M.D.
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
Mailing Address
-- PHYLLIS DECARNELLE HANNAH M.D.
902 E LINCOLN RD
IDABEL, OK 74745-7337
Phone number: 580-286-2600
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