Individual
COURTNEY NICOLE FULCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S CHOCTAW, EL RENO, OK 73036
(405) 422-6327
Mailing address
PO BOX 1280, BETHANY, OK 73008-1280
(405) 422-6327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
10/24/2022
Last updated
10/26/2022
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