JAZMAN L FAGAN

ARDMORE, OK
NPI1194033795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: OK  37V802700109)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- JAZMAN L FAGAN
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
Mailing Address
-- JAZMAN L FAGAN
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
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