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1790974103
LARA JEAN EASTERWOOD
OKLAHOMA CITY, OK
NPI
1790974103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OK 76862)
Enumeration Date
2007-10-22
Last Update Date
2014-08-20
Business Address
-- LARA JEAN EASTERWOOD ARNP-CNP
5101 W MEMORIAL RD
OKLAHOMA CITY, OK 73142-2018
Phone number: 405-752-9600
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Mailing Address
-- LARA JEAN EASTERWOOD ARNP-CNP
PO BOX 268938
OKLAHOMA CITY, OK 73126-8938
Phone number: 405-752-9600
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