Teresa Evelyn Reynolds LPN

NPI 1245472240 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1245472240
Gender Female
Enumeration Date 04/06/2009
Last Updated 04/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2307 GORDON COOPER DR
SHAWNEE OK, 74801-9007, US
Phone (405) 273-5236
Fax (405) 878-4690
Business Location
2307 GORDON COOPER DR
SHAWNEE OK, 74801-9007, US
Phone (405) 273-5236
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Oklahoma
License Number 0019713
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According to our database, Mrs. Teresa Evelyn Reynolds LPN NPI is 1245472240, taxonomy code is 164W00000X and license number is 0019713, license state is located at Oklahoma. Teresa Evelyn Reynolds LPN physically located at 2307 Gordon Cooper Dr, Shawnee OK, 74801-9007. NPI Number Teresa Evelyn Reynolds LPN has the Individual type.

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1245472240 NPI number is provided on an as is basis without warranty of any kind. 1245472240 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Evelyn Reynolds LPN are for informational purposes only.