Individual
JONI LYNN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W AVENUE G, HEAVENER, OK 74937-3612
(918) 235-4934
Mailing address
300 W AVENUE G, HEAVENER, OK 74937-3612
(918) 235-4934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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