Individual
MRS. ITRECHIA NARDIA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 273-1841
Mailing address
612 N CHICKASAW AVE, CLAREMORE, OK 74017-7214
(918) 373-5288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0070574
OK
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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