Individual
AMBER JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-9730
(580) 331-2007
Mailing address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-9730
(580) 331-2007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0054809
OK
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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