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1265018212
ANASTACIA ROSETTA RIVERS
LAWTON, OK
NPI
1265018212
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Former Name
ANASTACIA WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK LPN096160)
Enumeration Date
2021-03-21
Last Update Date
2021-03-21
Business Address
ANASTACIA ROSETTA RIVERS LPN
523 SW 11TH ST
LAWTON, OK 73501-4701
Phone number: 915-433-5801
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Mailing Address
ANASTACIA ROSETTA RIVERS LPN
523 SW 11TH ST
LAWTON, OK 73501-4701
Phone number: 915-433-5801
Copy
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