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1144525874
KENDALL DEREK WASHBURN
LAWTON, OK
NPI
1144525874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OK R83207)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
Mr. KENDALL DEREK WASHBURN RN
1515 NE LAWRIE TATUM RD BUILDING 414
LAWTON, OK 73507-3002
Phone number: 580-354-5562
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Mailing Address
Mr. KENDALL DEREK WASHBURN RN
1515 NE LAWRIE TATUM RD BUILDING 414
LAWTON, OK 73507-3002
Phone number: 580-354-5562
Copy
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