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1972978567
TAMERA RUSSELL
CHICKASHA, OK
NPI
1972978567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 55586)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- TAMERA RUSSELL
304 S 29TH ST
CHICKASHA, OK 73018-2501
Phone number: 405-896-8058
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Mailing Address
-- TAMERA RUSSELL
304 S 29TH ST
CHICKASHA, OK 73018-2501
Phone number:
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