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Larry J Coffman SR., RN
Administrator Registered Nurse in Oklahoma City, Oklahoma
NPI 1508291055

Larry J Coffman SR. is an Administrator Registered Nurse based in Oklahoma City, OK and is specialized in Administrator. Larry J Coffman SR. practices in Oklahoma City, OK and has the professional credentials of RN. The NPI Number for Larry J Coffman SR. is 1508291055 and holds a License No. 26797 (Oklahoma).

The current practice location address for Larry J Coffman SR. is 36 Ne 52Nd St, Oklahoma City, OK and can be reached out via phone at 405-456-6858 and via fax at 405-456-6900.

Location: 36 Ne 52Nd St, Oklahoma City, OK, 73105-1826
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Provider Profile Details
NPI Number
1508291055
Provider Name
Larry J Coffman SR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
36 Ne 52Nd St, Oklahoma City, OK, 73105-1826
Phone Number
405-456-6858
Fax Number
405-456-6900
Provider Enumeration Date
09/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37-7697 01 CMS
institution
Provider Business Practice Location Address Details
Address
36 Ne 52Nd St
City
State
Zip
73105-1826
Phone Number
405-456-6858
Fax Number
405-456-6900
person
Provider Business Mailing Address Details
Address
36 Ne 52Nd St
City
State
Zip
73105-1826
Phone Number
405-456-6858
Fax Number
405-456-6900
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
26797 (Oklahoma)
Definition
Definition to come...
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