Individual
JENTRI FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 W GARY BLVD, CLINTON, OK 73601-2727
(405) 443-9991
Mailing address
1217 W GARY BLVD, CLINTON, OK 73601-2727
(405) 443-9991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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