MEDICARE: RAYMONA HUNTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1295052918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMONA HUNTER

Provider Business Mailing Address
First Line	:	120 S MADISON AVE STE 24
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-5741
Country	:	US
Telephone Number	:	580-214-1725
Fax Number	:	580-225-1130

Provider Business Practice Location Address
First Line	:	120 S MADISON AVE STE 24
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-5741
Country	:	US
Telephone Number	:	580-214-1725
Fax Number	:	580-225-1130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	01/03/2012

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Directions to “ RAYMONA HUNTER ” Practice Location

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