Individual
MARY ELLA SERAWOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1631 A EAST HIGHWAY 66, EL RENO, OK 73036
(405) 422-8443
Mailing address
10 INDEPENDENCE ST, ANADARKO, OK 73005-2301
(405) 422-8443
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51813
OK
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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