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Individual

MRS. DEANNA HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9699
(580) 531-4700
Mailing address
8602 E 105TH ST N, OWASSO, OK 74055-6956
(580) 704-7058

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
82702
OK
363LF0000X
Family Nurse Practitioner
Primary
82702
OK

Other

Enumeration date
09/16/2015
Last updated
12/11/2023
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