Individual
REBECCA JANE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
702 NW HOMESTEAD DR, LAWTON, OK 73505-5205
(580) 585-6416
Mailing address
702 NW HOMESTEAD DR, LAWTON, OK 73505-5205
(580) 585-6416
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
0083265
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73-6029956
—
OK
Enumeration date
10/23/2015
Last updated
10/23/2015
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