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1912376740
JESSICA FUNK
LAWTON, OK
NPI
1912376740
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Former Name
JESSICA HALE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 106355)
Enumeration Date
2015-09-23
Last Update Date
2018-04-27
Business Address
Mrs. JESSICA FUNK NP-C
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3099
Phone number: 580-354-5400
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Mailing Address
Mrs. JESSICA FUNK NP-C
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3099
Phone number: 580-354-5400
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