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1861968364
LISA GAY WOODWORTH
MUSKOGEE, OK
NPI
1861968364
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Former Name
LISA GAY DISHMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OK 73781)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
LISA GAY WOODWORTH APRN
1001 S 41ST ST E
MUSKOGEE, OK 74403-6253
Phone number: 918-781-6542
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Mailing Address
LISA GAY WOODWORTH APRN
1001 S 41ST ST E
MUSKOGEE, OK 74403-6253
Phone number: 918-781-6542
Copy
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