MRS. Mary Lucille Swift

NPI #1225231251 in Wagoner, Oklahoma

Provider Information

NPI Number: 1225231251
Entity Type: Individual
Name: MRS. Mary Lucille Swift
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jun 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1305 KENNEDY CT
City: Wagoner
State: Oklahoma
ZIP Code: 74467-7007
Phone: (918) 485-7461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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