Individual
CHERRY CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 1/2 SW H AVE, LAWTON, OK 73501-4841
(580) 514-8619
Mailing address
1512 1/2 SW H AVE, LAWTON, OK 73501-4841
(580) 514-8619
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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