TREMELL DAVENPORT

LAWTON, OK
NPI1184159709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OK  103405)
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- TREMELL DAVENPORT
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5270
Mailing Address
-- TREMELL DAVENPORT
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5270