Individual
ESSENCE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 NE 46TH ST, LAWTON, OK 73507-7309
(580) 695-2003
Mailing address
222 NE 46TH ST, LAWTON, OK 73507-7309
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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