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1356104277
ASHLEY ANN BAINE
TAHLEQUAH, OK
NPI
1356104277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0071379)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
Ms. ASHLEY ANN BAINE Lpn
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
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Mailing Address
Ms. ASHLEY ANN BAINE Lpn
1311 W CHOCTAW ST
TAHLEQUAH, OK 74464-3421
Phone number: 918-207-9563
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