Individual
MABLE MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507
(580) 354-5710
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 0064657
OK
Other
Enumeration date
10/26/2016
Last updated
11/22/2016
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