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1336779206
JOHN NELSON LAZENBY
MCALESTER, OK
NPI
1336779206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OK 3133)
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
Mr. JOHN NELSON LAZENBY MHS, PA-C
4 E CLARK BASS BLVD STE 302
MCALESTER, OK 74501-4269
Phone number: 918-426-4306
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Mailing Address
Mr. JOHN NELSON LAZENBY MHS, PA-C
6708 TREVI CT
OKLAHOMA CITY, OK 73116-2604
Phone number: 580-695-2958
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