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De'Lisa Thacker
NPI 1841565827 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2823 Nw Mobley Ave
Lawton, OK 73507 - Phone
- (903) 721-4658
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2012-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma