Individual
JENNY FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5436
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 00659094
OK
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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