Individual
EMMETT WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4699 NW OZMUN AVE, LAWTON, OK 73505-1656
(940) 280-1153
Mailing address
4699 NW OZMUN AVE, LAWTON, OK 73505-1656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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