Individual
PENNY THORNE-DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 NE MADISON AVE, LAWTON, OK 73507-1970
(580) 512-2435
Mailing address
3710 NE MADISON AVE, LAWTON, OK 73507-1970
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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