Individual
MR. CRAIG FRANKLIN EDGMON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 775-4778
Mailing address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 775-4778
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37134
OK
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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