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1710528674
LISA RENEA PATE
ADA, OK
NPI
1710528674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 104727)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
Mrs. LISA RENEA PATE APRN-CNP
730 FINLEY DR
ADA, OK 74820-5392
Phone number: 580-421-6470
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Mailing Address
Mrs. LISA RENEA PATE APRN-CNP
730 FINLEY DR
ADA, OK 74820-5392
Phone number: 580-421-6470
Copy
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