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1215707005
TRACEE CHOUINARD
LAWTON, OK
NPI
1215707005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OK 207449)
Enumeration Date
2024-01-03
Last Update Date
2024-02-28
Business Address
TRACEE CHOUINARD CPNP-PC
5606 SW LEE BLVD STE 201
LAWTON, OK 73505-9651
Phone number: 580-699-5333
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Mailing Address
TRACEE CHOUINARD CPNP-PC
256937 E 1790 RD
GERONIMO, OK 73543-5228
Phone number: 602-999-9813
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