Individual
DALTON GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
(405) 372-2237
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
(405) 372-2237
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
211270
OK
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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