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1538591904
LISA MARCINKEVICIUS
MUSKOGEE, OK
NPI
1538591904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0057607)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
LISA MARCINKEVICIUS
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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Mailing Address
LISA MARCINKEVICIUS
10280 W 43RD ST S
MUSKOGEE, OK 74401-8315
Phone number: 918-351-5465
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