Individual
LEANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 E 3RD AVE, BRISTOW, OK 74010-3513
(918) 904-4788
Mailing address
415 E 3RD AVE, BRISTOW, OK 74010-3513
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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