Individual
MRS. DEBBIE L. WARDWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 LINDSAY LN, SPENCER, OK 73084-3544
(405) 343-1734
Mailing address
2800 LINDSAY LN, P.O. BOX 462, SPENCER, OK 73084-3544
(405) 343-1734
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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