Individual
DEBRA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4826 NW HOOVER AVE, LAWTON, OK 73505-1631
(580) 483-7476
Mailing address
4826 NW HOOVER AVE, LAWTON, OK 73505-1631
(580) 483-7476
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
02/12/2013
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