Individual
AMBER LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
63153 EAST 290 RD, GROVE, OK 74344
(918) 801-5991
Mailing address
30433 HIGHWAY 85, AFTON, OK 74331-8427
(918) 244-5588
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
52426
OK
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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