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1376946889
LARA EILEEN SHIRK
MOORE, OK
NPI
1376946889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 103493)
Enumeration Date
2014-09-29
Last Update Date
2020-12-16
Business Address
LARA EILEEN SHIRK APRN-CNP
1060 SW 4TH ST
MOORE, OK 73160-2494
Phone number: 405-378-5491
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Mailing Address
LARA EILEEN SHIRK APRN-CNP
1060 SW 4TH ST
MOORE, OK 73160-2494
Phone number: 405-378-5491
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