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1275394462
COLEY MICHELLE BEARD
TAHLEQUAH, OK
NPI
1275394462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20100861)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
COLEY MICHELLE BEARD LPN
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0558
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Mailing Address
COLEY MICHELLE BEARD LPN
5412 S MAPLE PL
BROKEN ARROW, OK 74011-4644
Phone number: 225-650-4341
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