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1477141398
LAUREN T SPIVA
PONCA CITY, OK
NPI
1477141398
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Former Name
LAUREN T DIAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK R0126926)
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
LAUREN T SPIVA
2225 N UNION ST
PONCA CITY, OK 74601-1555
Phone number: 580-308-5792
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Mailing Address
LAUREN T SPIVA
2225 N UNION ST
PONCA CITY, OK 74601-1555
Phone number: 580-308-5792
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