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Individual

SCOTT LAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1116 BRENTWOOD DR, PONCA CITY, OK 74601-1711
(580) 762-0517
Mailing address
1116 BRENTWOOD DR, PONCA CITY, OK 74601-1711
(580) 762-0517

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60999
OK

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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