Individual
MADISON P LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 WILLOWAY DR, NORMAN, OK 73072-4924
(405) 863-5539
Mailing address
310 WILLOWAY DR, NORMAN, OK 73072-4924
(405) 863-5539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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