Individual
BOBBI LYN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
672 N RED OAK ST, ATOKA, OK 74525-1693
(580) 364-4070
Mailing address
672 N RED OAK ST, ATOKA, OK 74525-1693
(580) 364-4070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
OK
Enumeration date
03/07/2019
Last updated
03/07/2019
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