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1669980173
LAURA S BRANDVIK
FORT SUPPLY, OK
NPI
1669980173
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Former Name
LAURA S RAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0056276)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
LAURA S BRANDVIK LPN
PO BOX 1
FORT SUPPLY, OK 73841-0001
Phone number: 580-766-2311
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Mailing Address
LAURA S BRANDVIK LPN
52075 S COUNTY ROAD 199
WOODWARD, OK 73801-5693
Phone number: 580-374-2615
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