ANASTACIA ROSETTA RIVERS

LAWTON, OK
NPI1265018212
Former NameANASTACIA WILLIAMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  LPN096160)
Enumeration Date2021-03-21
Last Update Date2021-03-21
Business Address
ANASTACIA ROSETTA RIVERS LPN
523 SW 11TH ST
LAWTON, OK 73501-4701
Phone number: 915-433-5801
Mailing Address
ANASTACIA ROSETTA RIVERS LPN
523 SW 11TH ST
LAWTON, OK 73501-4701
Phone number: 915-433-5801
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