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Mrs. Nancy Charlene Durbin, PROVIDER
Lodging Provider in Agra, Oklahoma
NPI 1215061064

Nancy Charlene Durbin is a Lodging Provider based in Agra, OK. Nancy Charlene Durbin practices in Agra, OK and has the professional credentials of PROVIDER. The NPI Number for Nancy Charlene Durbin is 1215061064 and holds a License No. (Oklahoma).

The current practice location address for Nancy Charlene Durbin is 501 East Lincoln Ave, Agra, OK and can be reached out via phone at 918-375-2648 and via fax at 918-375-2648.

Location: 501 East Lincoln Ave, Agra, OK, 74824-0285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215061064
Provider Name
Nancy Charlene Durbin
Credential
PROVIDER
Provider Entity Type
Individual
Gender
Female
Address
501 East Lincoln Ave, Agra, OK, 74824-0285
Phone Number
918-375-2648
Fax Number
918-375-2648
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 East Lincoln Ave
City
Agra
State
Oklahoma
Zip
74824-0285
Phone Number
918-375-2648
Fax Number
918-375-2648
person
Provider Business Mailing Address Details
Address
501 East Lincoln Ave
City
Agra
State
Oklahoma
Zip
74824-0285
Phone Number
918-375-2648
Fax Number
918-375-2648
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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