CHAN VANNARATH

LAWTON, OK
NPI1225542905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OK  84017)
Enumeration Date2017-11-17
Last Update Date2023-10-27
Business Address
Mrs. CHAN VANNARATH Nurse Practitioner
4303 PITMAN ST
LAWTON, OK 73503-4473
Phone number: 580-585-5600
Mailing Address
Mrs. CHAN VANNARATH Nurse Practitioner
4303 PITMAN ST
LAWTON, OK 73503-4473
Phone number: 580-585-5600
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