Individual
DELAINA LYNN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 878-4693
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 878-4693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0060633
OK
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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