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Individual

BAROME ENOWEYERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1700 E 1ST ST, GRANITE, OK 73547-9317
(580) 480-3700
Mailing address
1700 E 1ST ST, GRANITE, OK 73547-9317
(580) 480-3700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201364
OK

Other

Enumeration date
03/22/2021
Last updated
08/18/2021
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