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1912536269
DELAINA LARAE DAVIS
POTEAU, OK
NPI
1912536269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: OK 115246)
Enumeration Date
2020-04-07
Last Update Date
2024-06-03
Business Address
DELAINA LARAE DAVIS APRN
105 WALL ST
POTEAU, OK 74953-4433
Phone number: 918-635-3000
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Mailing Address
DELAINA LARAE DAVIS APRN
105 WALL ST
POTEAU, OK 74953-4433
Phone number: 918-635-3125
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