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1497181192
CHEVONNE LATICE TALLEY
OKLAHOMA CITY, OK
NPI
1497181192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 77402)
Enumeration Date
2013-09-25
Last Update Date
2021-06-22
Business Address
Ms. CHEVONNE LATICE TALLEY APRN
920 STANTON L YOUNG BLVD # WP1140
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
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Mailing Address
Ms. CHEVONNE LATICE TALLEY APRN
PO BOX 26901
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351
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