EUGEN IVAN

LAWTON, OK
NPI1790735389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: UT  6121228-1205)
Enumeration Date2006-05-12
Last Update Date2010-08-18
Business Address
-- EUGEN IVAN md
3106 NW ARLINGTON AVE
LAWTON, OK 73505-6123
Phone number: 580-250-4278
Mailing Address
-- EUGEN IVAN md
3106 NW ARLINGTON AVE
LAWTON, OK 73505-6123
Phone number: 580-250-4278
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