Individual
MISS ADEDAYO FASHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
Mailing address
2202 SW B AVE, APT 1309, LAWTON, OK 73501-4113
(580) 458-1965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731545165
—
OK
Enumeration date
02/25/2011
Last updated
02/25/2011
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