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Heather Dawn Flores

Peer Specialist in Kiefer, OK. Individual provider (NPI-1).

NPI number1164035127
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1164035127
Entity type
Individual (NPI-1)
Name
Heather Dawn Flores
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2020
Certification date
Aug 27, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

308 W Breanna St
Kiefer, OK 74041-4521

Phone 539-302-9366

Mailing address

308 W Breanna St
Kiefer, OK 74041-4521

Phone 539-902-9366

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