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Individual

GAYLA BRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 354-5000
Mailing address
1515 NE LAWRIE TATUM ROAD, LAWTON, OK 73507
(580) 354-5000

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0088967
OK

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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