Individual
MISS REBECCA SUSANNE FAUBION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S QUINCY ST, ENID, OK 73701-5456
(580) 234-7581
Mailing address
4210 VALLEY FORGE DR, ENID, OK 73703-1367
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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