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Individual

ERIC BUDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
4404 SW HICKORY LN, LAWTON, OK 73505-7505
(405) 421-6042

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
320725
OK
171W00000X
Contractor
Primary

Other

Enumeration date
02/28/2025
Last updated
06/16/2026
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