Individual
DA'SHA MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11912 E 112TH PL N, OWASSO, OK 74055-6336
(539) 777-4673
Mailing address
5550 S GARNETT RD, TULSA, OK 74146-6831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
71719
OK
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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