Individual
ADESHOLA T FATUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 SW LEE 635, LAWTON, OK 73505
(785) 424-4208
Mailing address
7301 SW LEE 635, LAWTON, OK 73505
(785) 424-4208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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