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Jazman Fagan
NPI 1194033795 · on the registry since 2010
Practice
- Address
- 2530 S Commerce St
Ardmore, OK 73401 - Phone
- (580) 223-5636
- Fax
- (580) 226-6727
- Organisation at this address
- Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers
Mental Health Services Of Southern Oklahoma
Mental Health Services Of Southern OklahomaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 106
Registry record
- Primary taxonomy
- Nurse's Aide
376K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma