Individual
DOROTHY YVONNE WEASELBEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
522 E CLARK AVE, WEATHERFORD, OK 73096-5304
(580) 331-3300
Mailing address
522 E CLARK AVE, WEATHERFORD, OK 73096-5304
(580) 331-3300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 0053874
OK
Other
Enumeration date
12/29/2010
Last updated
10/24/2016
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