Individual
MICHELLE NEYSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 MOW-WAY RD, FORT SILL, OK 73507-6300
(580) 442-2061
Mailing address
3607 NE RICHMOND ST, LAWTON, OK 73507-8201
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
00061333
SC
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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