Individual
JEANETTE BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
1909 NE 35TH ST., LAWTON, OK 73507
(580) 248-5780
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
110832
OK
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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