Individual
LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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