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1124036744
LORA MAY VAVERKA
ENID, OK
NPI
1124036744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0051279)
Enumeration Date
2006-08-03
Last Update Date
2024-03-27
Business Address
LORA MAY VAVERKA NP-C
330 S 5TH ST STE 500
ENID, OK 73701-5825
Phone number: 580-249-5504
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Mailing Address
LORA MAY VAVERKA NP-C
11100 HEFNER POINTE DR STE A
OKLAHOMA CITY, OK 73120-5049
Phone number: 405-752-0871
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