Individual
COURTNEY SHUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6809 NW CRESTWOOD DR, LAWTON, OK 73505-1277
(580) 704-5560
Mailing address
6809 NW CRESTWOOD DR, LAWTON, OK 73505-1277
(580) 704-5560
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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