Individual
JUSTIN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9691 W 760 RD, HULBERT, OK 74441-2628
(918) 990-0768
Mailing address
PO BOX 85, BRAGGS, OK 74423-0085
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L0066250
OK
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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