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1871057893
ROXANNE ELIZABETH WISEMAN
LAWTON, OK
NPI
1871057893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
ROXANNE ELIZABETH WISEMAN
1604 NW LAKE AVE
LAWTON, OK 73507-6451
Phone number: 580-284-4371
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Mailing Address
ROXANNE ELIZABETH WISEMAN
1604 NW LAKE AVE
LAWTON, OK 73507-6451
Phone number:
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