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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.

Location: 707 E Oklahoma Ave, Sulphur, OK, 73086-3038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Sulphur
State
Oklahoma
Zip
73086-3038
Phone Number
580-622-6788
Fax Number
person
Provider Business Mailing Address Details
Address
707 E Oklahoma Ave
City
Sulphur
State
Oklahoma
Zip
73086-3038
Phone Number
580-622-6788
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
172A00000X (Oklahoma)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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