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1043697741
KENNETH WARD
CLINTON, OK
NPI
1043697741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0062309)
Enumeration Date
2015-05-01
Last Update Date
2015-05-01
Business Address
-- KENNETH WARD
1217 W GARY BLVD
CLINTON, OK 73601-2727
Phone number: 866-926-6552
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Mailing Address
-- KENNETH WARD
1217 W GARY BLVD
CLINTON, OK 73601-2727
Phone number: 866-926-6552
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