Individual
JOSYLINE LACMAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 ANAUM LN, YUKON, OK 73099-3885
(405) 857-5145
Mailing address
9100 ANAUM LN, YUKON, OK 73099-3885
(405) 857-5145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200934
OK
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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