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1851705552
ELIZABETH BANDA
POTEAU, OK
NPI
1851705552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 74771)
Enumeration Date
2014-06-20
Last Update Date
2017-02-16
Business Address
-- ELIZABETH BANDA APRN-CNP
500 S BROADWAY ST STE B
POTEAU, OK 74953-3819
Phone number: 918-208-7497
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Mailing Address
-- ELIZABETH BANDA APRN-CNP
500 S BROADWAY ST STE B
POTEAU, OK 74953-3819
Phone number: 918-208-7497
Copy
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