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Eva Jane Fournier

Community/Behavioral Health in Lawton, OK. Individual provider (NPI-1).

NPI number1619255908
StatusActive
Last updated in NPPESAug 3, 2011

Details

NPI
1619255908
Entity type
Individual (NPI-1)
Name
Mrs. Eva Jane Fournier
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2011
Last updated
Aug 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1810 Nw Bell Ave
Lawton, OK 73507-6315

Phone 580-919-7674

Mailing address

1810 Nw Bell Ave
Lawton, OK 73507-6315

Phone 580-919-7674

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