Individual
ADRIENNE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 NW 46TH ST, LAWTON, OK 73505-3202
(580) 695-9218
(580) 699-5053
Mailing address
1618 NW 46TH ST, LAWTON, OK 73505-3202
(580) 695-9218
(580) 699-5053
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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