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1407094527
ENOLA GAY CRAYTON
CLINTON, OK
NPI
1407094527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0020585)
Enumeration Date
2009-01-27
Last Update Date
2009-01-27
Business Address
ENOLA GAY CRAYTON L.P.N.
707 S 28TH ST
CLINTON, OK 73601-4903
Phone number: 580-309-0943
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Mailing Address
ENOLA GAY CRAYTON L.P.N.
707 S 28TH ST
CLINTON, OK 73601-4903
Phone number: 580-309-0943
Copy
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