Individual
JACOBI CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 NW ARLINGTON AVE, LAWTON, OK 73507-6937
(580) 354-6214
Mailing address
302 NW ARLINGTON AVE, LAWTON, OK 73507-6937
(580) 354-6214
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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