TRAVIS S MADIGAN

VINITA, OK
NPI1598985780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0036797)
Enumeration Date2007-04-27
Last Update Date2007-07-08
Business Address
-- TRAVIS S MADIGAN LPN
405 E. EXCELSIOR
VINITA, OK 74301
Phone number: 918-256-6476
Mailing Address
-- TRAVIS S MADIGAN LPN
405 E. EXCELSIOR
VINITA, OK 74301
Phone number: 918-256-6476
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