Individual
JENNIFER DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FSP
Contact information
Practice address
605 S. 1ST, MADILL, OK 73446
(580) 795-3794
Mailing address
309 S. 5TH ST, RAVIA, OK 73455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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