JOHN A FULTZ

PONCA CITY, OK
NPI1518086479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence:   None)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
Mr. JOHN A FULTZ
201 E CHESTNUT AVE
PONCA CITY, OK 74601-4311
Phone number: 580-763-0931
Mailing Address
Mr. JOHN A FULTZ
3542 SPRINGWOOD ST APT. 604
PONCA CITY, OK 74604-1632
Phone number: 580-716-1731
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