Individual
DONNA L EASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
138 SOUTH MAIN, AFTON, OK 74331
(918) 257-4244
(918) 257-4247
Mailing address
P.O. BOX 160, AFTON, OK 74331
(918) 257-4244
(918) 257-4247
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0026055
OK
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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