MEDICARE: JOYCE BARR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker		OK

General Provider Information

NPI Number	:	1578686069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE BARR

Provider Business Mailing Address
First Line	:	1309 N STILES AVE
Second Line	:	APT. 9C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-2876
Country	:	US
Telephone Number	:	405-243-3579
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 N STILES AVE
Second Line	:	APT. 9C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-2876
Country	:	US
Telephone Number	:	405-243-3579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/08/2007

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