MRS. Leisa Gayle Carr

NPI #1538285267 in Sulphur, Oklahoma

Provider Information

NPI Number: 1538285267
Entity Type: Individual
Name: MRS. Leisa Gayle Carr
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 707 E OKLAHOMA AVE
City: Sulphur
State: Oklahoma
ZIP Code: 73086-3038
Phone: (580) 622-6788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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