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Individual

EARL CORNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNS

Contact information

Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 552-0450
Mailing address
5300 N INDEPENDENCE AVE, STE. 280, OKLAHOMA CITY, OK 73112-5556
(405) 949-3349
(405) 552-0450

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
73621
OK
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
73621
OK

Other

Enumeration date
08/30/2007
Last updated
05/01/2015
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