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1366838492
GEORGIANA DAVINE LUSTY
OKLAHOMA CITY, OK
NPI
1366838492
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Other Name
JORGIE DAVINE LUSTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 59156)
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
-- GEORGIANA DAVINE LUSTY RN
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
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Mailing Address
-- GEORGIANA DAVINE LUSTY RN
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
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