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Individual

EMILY EL KOURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 357-6900
Mailing address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 357-6900

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12159909
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100687790A
OK
Enumeration date
09/01/2015
Last updated
09/01/2015
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