Jazman L Fagan

NPI #1194033795 in Ardmore, Oklahoma

Provider Information

NPI Number
1194033795
Entity Type
Individual
Name
Jazman L Fagan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Enumeration Date
Sep 16, 2010
Last Updated
Sep 16, 2010

Practice Location

Address
2530 S COMMERCE ST
ZIP Code
73401-5519
Phone
(580) 223-5636

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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