Individual
ALORA S FULGIUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8908 CRAIG RD, BROKEN BOW, OK 74728-5560
(918) 859-8697
Mailing address
8908 CRAIG RD, BROKEN BOW, OK 74728-5560
(918) 859-8697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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