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1225542905
CHAN VANNARATH
LAWTON, OK
NPI
1225542905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OK 84017)
Enumeration Date
2017-11-17
Last Update Date
2023-10-27
Business Address
Mrs. CHAN VANNARATH Nurse Practitioner
4303 PITMAN ST
LAWTON, OK 73503-4473
Phone number: 580-585-5600
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Mailing Address
Mrs. CHAN VANNARATH Nurse Practitioner
4303 PITMAN ST
LAWTON, OK 73503-4473
Phone number: 580-585-5600
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