Individual
MRS. EVA JANE FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 NW BELL AVE, LAWTON, OK 73507-6315
(580) 919-7674
Mailing address
1810 NW BELL AVE, LAWTON, OK 73507-6315
(580) 919-7674
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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