Individual
ANTHONY MANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 NW 35TH ST, LAWTON, OK 73505-5120
(580) 678-1964
Mailing address
808 NW 35TH ST, LAWTON, OK 73505-5120
(580) 678-1964
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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