Individual
JAMES LUIE TIMMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1409 7TH ST, RYAN, OK 73565-5500
(580) 467-6197
Mailing address
1409 7TH ST, RYAN, OK 73565-5500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
005159
OK
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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