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1780070359
LISA C MILLER
PONCA CITY, OK
NPI
1780070359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 54549)
Enumeration Date
2015-04-10
Last Update Date
2015-04-10
Business Address
Mrs. LISA C MILLER RN
1400 N PECAN RD
PONCA CITY, OK 74604-4131
Phone number: 580-763-2782
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Mailing Address
Mrs. LISA C MILLER RN
1400 N PECAN RD
PONCA CITY, OK 74604-4131
Phone number: 580-763-2782
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