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1194241240
MISTIE LYNN FARMER
LAWTON, OK
NPI
1194241240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date
2017-08-21
Last Update Date
2017-08-21
Business Address
MISTIE LYNN FARMER
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
MISTIE LYNN FARMER
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number:
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