Individual
MS. DEANNE MAE FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 E SUNSET DR, SUITE C, MEDFORD, OK 73759-2401
(580) 395-3142
(580) 395-3163
Mailing address
424 S 3RD ST, MEDFORD, OK 73759-1608
(405) 301-5105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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