Individual
MRS. ERIKA DEVASCONCELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6221 W GORE BLVD, LAWTON, OK 73505-5836
(580) 351-9998
Mailing address
2608 NW STONE HILL DR, LAWTON, OK 73505-1256
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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