Individual
STACY BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, LVN
Contact information
Practice address
23372 ROPERS RD, MADILL, OK 73446-9566
(580) 677-2762
Mailing address
23372 ROPERS RD, MADILL, OK 73446-9566
(580) 677-2762
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0042316
OK
164X00000X
Licensed Vocational Nurse
Primary
185241
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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