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1760740401
CHARLA DANIELLE WELLS
ARDMORE, OK
NPI
1760740401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0058148)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
Dr. CHARLA DANIELLE WELLS LPN
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
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Mailing Address
Dr. CHARLA DANIELLE WELLS LPN
515 S WASHINGTON ST APT 1
ARDMORE, OK 73401-7091
Phone number: 580-264-0406
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