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LEVI DANIEL MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(724) 388-1783
Mailing address
600 NE 14TH ST, MOORE, OK 73160-5752
(724) 388-1783

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
204192
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2021
Last updated
07/15/2021
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