CHARLES M FOFANG

OKLAHOMA CITY, OK
NPI1093225989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  F10170079)
Enumeration Date2017-10-04
Last Update Date2021-01-25
Business Address
CHARLES M FOFANG NP
1122 NE 13TH ST
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-4351
Mailing Address
CHARLES M FOFANG NP
PO BOX 26901
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351
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