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Individual

MRS. CONNIE M CHELENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO, LPO

Contact information

Practice address
1915 W GORE BLVD STE 1, LAWTON, OK 73501-3661
(580) 699-8690
(580) 966-8692
Mailing address
1915 W GORE BLVD STE 1, LAWTON, OK 73501-3661
(580) 699-8690
(580) 966-8692

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO92
OK
224P00000X
Prosthetist
Primary
LPO92
OK

Other

Enumeration date
08/12/2012
Last updated
07/26/2013
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