Individual
JANAY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 SW 52ND ST APT 604, LAWTON, OK 73505-6849
(240) 478-3999
Mailing address
610 SW 52ND ST APT 604, LAWTON, OK 73505-6849
(240) 478-3999
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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