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Organization

LONNIE F FRAZIER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LONNIE F FRAZIER RN (CASE MANAGER)
(325) 212-4420
Entity
Organization

Contact information

Practice address
709 W 18TH ST, SAN ANGELO, TX 76903-4515
(325) 212-4420
(325) 617-4481
Mailing address
709 W 18TH ST, SAN ANGELO, TX 76903-4515
(325) 212-4420
(325) 617-4481

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
540262
TX

Other

Enumeration date
02/09/2010
Last updated
02/09/2010
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