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1497389738
JESSICA LYNN EBNER
LAWTON, OK
NPI
1497389738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 116547)
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
Mrs. JESSICA LYNN EBNER NP-C
1902 E GORE BLVD
LAWTON, OK 73501-6102
Phone number: 860-480-6231
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Mailing Address
Mrs. JESSICA LYNN EBNER NP-C
249 HAPPY HOLLOW LN
ELGIN, OK 73538-2142
Phone number: 860-480-6231
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