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Individual

TRACY OLONNIE SWEENEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 NW 31ST ST FL 2, LAWTON, OK 73505-6100
(580) 357-3671
Mailing address
4504 SW PARKWAY DR, LAWTON, OK 73505-8051
(580) 591-1831

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-585
TX
246ZC0007X
Surgical Assistant

Other

Enumeration date
10/11/2024
Last updated
03/18/2025
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