Individual
ANNABELLE ST. JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W PLUM ST, DURANT, OK 74701-3320
(214) 218-3212
Mailing address
202 W PLUM ST, DURANT, OK 74701-3320
(214) 218-3212
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344853
TX
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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