MITZI GAIL PEMBERTON

PONCA CITY, OK
NPI1366717134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0045857)
Enumeration Date2012-03-13
Last Update Date2012-03-13
Business Address
-- MITZI GAIL PEMBERTON LPN
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-763-0931
Mailing Address
-- MITZI GAIL PEMBERTON LPN
3003 TURNER ST APT B
PONCA CITY, OK 74604-1537
Phone number: 580-763-7171
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