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1750975041
LACY ERIN PENROD
TULSA, OK
NPI
1750975041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OK 201089)
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
Miss LACY ERIN PENROD APRN-CNP
5906 E 31ST ST STE 2
TULSA, OK 74135-5110
Phone number: 918-508-7008
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Mailing Address
Miss LACY ERIN PENROD APRN-CNP
5906 E 31ST ST STE 2
TULSA, OK 74135-5110
Phone number: 918-508-7008
Copy
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