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1942516166
JIMANN MARIE FAIRCLOTH
OKLAHOMA CITY, OK
NPI
1942516166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0056198)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
-- JIMANN MARIE FAIRCLOTH LPN
1215 NW 25TH ST
OKLAHOMA CITY, OK 73106-5629
Phone number: 405-525-2525
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Mailing Address
-- JIMANN MARIE FAIRCLOTH LPN
2419 NW 3RD ST
OKLAHOMA CITY, OK 73107-6937
Phone number: 405-248-6943
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