Provider First Line Business Practice Location Address:
LAVERNE PUBLIC SCHOOL
Provider Second Line Business Practice Location Address:
605 JANE JAYROE BLVD
Provider Business Practice Location Address City Name:
LAVERNE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-921-3362
Provider Business Practice Location Address Fax Number:
580-921-3636
Provider Enumeration Date:
07/09/2024