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1487795613
LAUREL CARRIE MCCULLOH
ARDMORE, OK
NPI
1487795613
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Former Name
LAUREL HAZLEWOOD FOSTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0061952)
Enumeration Date
2007-02-09
Last Update Date
2013-03-21
Business Address
Mrs. LAUREL CARRIE MCCULLOH ARNP
1011 14TH AVE NW
ARDMORE, OK 73401-1828
Phone number: 580-220-6360
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Mailing Address
Mrs. LAUREL CARRIE MCCULLOH ARNP
1515 6TH AVE SW
ARDMORE, OK 73401-3530
Phone number: 580-220-6360
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