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1922265800
LAVONNE JACOBSEN
EDMOND, OK
NPI
1922265800
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Former Name
LAVONNE WILLENKEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CA NMW621)
Enumeration Date
2008-05-19
Last Update Date
2013-07-08
Business Address
-- LAVONNE JACOBSEN APRN, CNM
3208 AMBERWOOD CT
EDMOND, OK 73003-2133
Phone number: 405-509-4661
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Mailing Address
-- LAVONNE JACOBSEN APRN, CNM
3208 AMBERWOOD CT
EDMOND, OK 73003-2133
Phone number: 405-509-4661
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