LISA DIANE BONHAM

ARDMORE, OK
NPI1568856771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0029404)
Enumeration Date2015-03-25
Last Update Date2015-03-25
Business Address
-- LISA DIANE BONHAM LPN
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5070
Mailing Address
-- LISA DIANE BONHAM LPN
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5070
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