Individual
MS. MAROLYN JEAN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4411 W GORE BLVD, SUITE A2, LAWTON, OK 73505
(580) 355-0575
(580) 248-1725
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1045922
—
363AM0700X
Medical Physician Assistant
Primary
1936
OK
Other
Enumeration date
04/02/2007
Last updated
02/01/2011
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