Individual
DEBRA LAWSON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1308 CRADDUCK RD, ADA, OK 74820-8442
(580) 332-3699
(580) 421-9828
Mailing address
PO BOX 265, ROFF, OK 74865-0265
(580) 456-7726
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R0063853
OK
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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