GINNY REBECCA MASHBURN

PONCA CITY, OK
NPI1033218912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0044597)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
Ms. GINNY REBECCA MASHBURN LPN
200 WHITE EAGLE DR
PONCA CITY, OK 74601
Phone number: 580-765-2501
Mailing Address
Ms. GINNY REBECCA MASHBURN LPN
705 NORTH ELM
PONCO CITY, OK 74601
Phone number: 580-762-3298
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