LARRY DON OTWELL

ENID, OK
NPI1093100596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0046123)
Enumeration Date2015-04-01
Last Update Date2015-04-01
Business Address
-- LARRY DON OTWELL LPN
317 W CHEROKEE AVE SUITE B
ENID, OK 73701-5615
Phone number: 888-573-7792
Mailing Address
-- LARRY DON OTWELL LPN
2005 W ELM AVE
ENID, OK 73703-4208
Phone number: 580-478-7684
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