TAMERA RUSSELL

CHICKASHA, OK
NPI1972978567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  55586)
Enumeration Date2015-12-08
Last Update Date2015-12-08
Business Address
-- TAMERA RUSSELL
304 S 29TH ST
CHICKASHA, OK 73018-2501
Phone number: 405-896-8058
Mailing Address
-- TAMERA RUSSELL
304 S 29TH ST
CHICKASHA, OK 73018-2501
Phone number:
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