Individual
ROBIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
300 APACHE TRL, BURNS FLAT, OK 73647-9028
(832) 922-9652
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347170
TX
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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