Individual
KORIE ALIZABETH KUKURICH-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 SW F AVE, LAWTON, OK 73501-4542
(580) 699-2700
(817) 382-2934
Mailing address
701 SW F AVE, LAWTON, OK 73501-4542
(580) 699-2700
(817) 382-2934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-472304
OK
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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