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1760782882
LORI SUZANNE FROCK
ARDMORE, OK
NPI
1760782882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2010-10-22
Last Update Date
2011-09-06
Business Address
Mrs. LORI SUZANNE FROCK RN
66 OVERLAND RT
ARDMORE, OK 73401
Phone number: 580-465-9971
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Mailing Address
Mrs. LORI SUZANNE FROCK RN
PO BOX 506
ARDMORE, OK 73401
Phone number: 580-465-9971
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