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1285121251
VICKIE RANAY GARDNER
VINITA, OK
NPI
1285121251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0051033)
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
Mrs. VICKIE RANAY GARDNER LPN
405 E EXCELSIOR AVE
VINITA, OK 74301-4226
Phone number: 918-256-6476
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Mailing Address
Mrs. VICKIE RANAY GARDNER LPN
405 E EXCELSIOR AVE
VINITA, OK 74301-4226
Phone number: 918-256-6476
Copy
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