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1629531900
MALAYA REYNA DEEMER
LAWTON, OK
NPI
1629531900
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Other Name
MALAYA REYNA PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 124007)
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
MALAYA REYNA DEEMER CNP
5602 SW LEE BLVD
LAWTON, OK 73505-9699
Phone number: 580-531-4786
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Mailing Address
MALAYA REYNA DEEMER CNP
5602 SW LEE BLVD
LAWTON, OK 73505-9699
Phone number: 580-531-4786
Copy
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