Individual
MS. TONYA RENEE' SUBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
414 NW 57TH ST, LAWTON, OK 73505-5715
(580) 917-7577
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
220017
OK
Other
Enumeration date
02/26/2024
Last updated
03/19/2025
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