KENDALL DEREK WASHBURN

LAWTON, OK
NPI1144525874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OK  R83207)
Enumeration Date2011-01-11
Last Update Date2011-01-11
Business Address
Mr. KENDALL DEREK WASHBURN RN
1515 NE LAWRIE TATUM RD BUILDING 414
LAWTON, OK 73507-3002
Phone number: 580-354-5562
Mailing Address
Mr. KENDALL DEREK WASHBURN RN
1515 NE LAWRIE TATUM RD BUILDING 414
LAWTON, OK 73507-3002
Phone number: 580-354-5562