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1912788407
CAROLYN A HOMBERGER
TAHLEQUAH, OK
NPI
1912788407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK F7244607)
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
MS. CAROLYN A HOMBERGER LPN
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
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Mailing Address
MS. CAROLYN A HOMBERGER LPN
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
Copy
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