NICHOLAS RYAN GROOM

TULSA, OK
NPI1275275232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0063960)
Enumeration Date2022-04-11
Last Update Date2022-04-11
Business Address
NICHOLAS RYAN GROOM LPN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
Mailing Address
NICHOLAS RYAN GROOM LPN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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