Individual
KYLE DEWAYNE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 S CHEROKEE AVE, BARTLESVILLE, OK 74003-3625
(918) 876-4048
Mailing address
504 S CHEROKEE AVE, BARTLESVILLE, OK 74003-3625
(918) 876-4048
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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