Individual
GENE MORGAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
27 E ROSS AVE, SAPULPA, OK 74066
(918) 216-4999
Mailing address
504 E MADISON ST APT F, BROKEN ARROW, OK 74012-2019
(315) 778-2257
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210791
OK
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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