Individual
PAMELA AGABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 NE 36TH ST, LAWTON, OK 73507-8212
(717) 608-6931
Mailing address
1604 NE 36TH ST, LAWTON, OK 73507-8212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN650470
PA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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