TARA MIRANDA LEWIS

ARDMORE, OK
NPI1962682104
Former NameTARA MIRANDA WADE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1659)
Enumeration Date2007-11-05
Last Update Date2024-07-10
Business Address
TARA MIRANDA LEWIS P.A.-C
2510 CHICKASAW BLVD
ARDMORE, OK 73401-1341
Phone number: 580-226-8181
Mailing Address
TARA MIRANDA LEWIS P.A.-C
1925 WARRIOR WAY
ADA, OK 74820-3491
Phone number: 580-421-4570
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