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1902524952
LISA ANN HALCOMB
ENID, OK
NPI
1902524952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L066608)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
LISA ANN HALCOMB
702 N GRAND ST
ENID, OK 73701-3221
Phone number: 580-234-3791
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Mailing Address
LISA ANN HALCOMB
702 N GRAND ST
ENID, OK 73701-3221
Phone number: 580-234-3791
Copy
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