Marcus Fontenot
Community Health Worker in Canadian, OK. Individual provider (NPI-1).
NPI number1114222015
StatusActive
Last updated in NPPESJan 24, 2011
Details
- NPI
- 1114222015
- Entity type
- Individual (NPI-1)
- Name
- Marcus Fontenot
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2011
- Last updated
- Jan 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
Hc 67 Box 5Canadian, OK 74425-9700
Phone 918-339-5800
Mailing address
Hc 67 Box 5Canadian, OK 74425-9700
Phone 918-339-5800
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Other Community Health Worker providers in Canadian, OK
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- Adam RussellNPI 1932404092
- Michael Edward ShumanNPI 1992163547
- Terrence ThompsonNPI 1174828156
- Lee Rain WallinNPI 1366724924
All 12 Community Health Worker providers in Canadian · All 42 providers in Canadian
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