Individual
PASHEN LECREST BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5113 SE 15TH ST, DEL CITY, OK 73115-3952
(405) 600-3252
Mailing address
106 W SILVER MEADOW DR, MIDWEST CITY, OK 73110-4139
(405) 264-3614
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0070081
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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