person
Mrs. Leisa Gayle Carr
Driver in Sulphur, Oklahoma
NPI 1538285267

Leisa Gayle Carr is a Driver based in Sulphur, OK. Leisa Gayle Carr practices in Sulphur, OK. The NPI Number for Leisa Gayle Carr is 1538285267 and holds a License No. 172A00000X (Oklahoma).

The current practice location address for Leisa Gayle Carr is 707 E Oklahoma Ave, Sulphur, OK and can be reached out via phone at 580-622-6788. You can also correspond with Leisa Gayle Carr through the mailing address at 707 E OKLAHOMA AVE, SULPHUR, OK - 73086-3038 (mailing address contact number: 580-622-6788).

Location: 707 E Oklahoma Ave, Sulphur, OK, 73086-3038
person
Provider Profile Details
NPI Number
1538285267
Provider Name
Leisa Gayle Carr
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 E Oklahoma Ave, Sulphur, OK, 73086-3038
Phone Number
580-622-6788
Fax Number
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20091200A 05 OK
institution
Provider Business Practice Location Address Details
Address
707 E Oklahoma Ave
City
State
Zip
73086-3038
Phone Number
580-622-6788
Fax Number
person
Provider Business Mailing Address Details
Address
707 E Oklahoma Ave
City
State
Zip
73086-3038
Phone Number
580-622-6788
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
172A00000X (Oklahoma)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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