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1982900072
THELMA DIANNA SMALES
LAWTON, OK
NPI
1982900072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0052643)
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
THELMA DIANNA SMALES L.P.N.
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
THELMA DIANNA SMALES L.P.N.
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
Copy
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