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1063758027
ELLAGENE ELIZABETH CRUZ
LAWTON, OK
NPI
1063758027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OK 50933)
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
Mrs. ELLAGENE ELIZABETH CRUZ APN
1602 SW 82ND ST
LAWTON, OK 73505-9012
Phone number: 580-536-0077
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Mailing Address
Mrs. ELLAGENE ELIZABETH CRUZ APN
1602 SW 82ND ST
LAWTON, OK 73505-9012
Phone number: 580-536-0077
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