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Organization

POCOLA FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LENA FAYE BUCKNER APRN (APRN)
(539) 245-2062
Entity
Organization

Contact information

Practice address
503 N POCOLA BLVD, POCOLA, OK 74902-3123
(539) 245-2062
(539) 245-2078
Mailing address
503 N POCOLA BLVD, POCOLA, OK 74902-3123
(153) 924-5206
(539) 245-2078

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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