Provider Demographics
NPI:1457554966
Name:YARBROUGH, LINDA CAROL (SPECIALIZED FOSTER C)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAROL
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:SPECIALIZED FOSTER C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 199
Mailing Address - Street 2:
Mailing Address - City:SAVANNA
Mailing Address - State:OK
Mailing Address - Zip Code:74565
Mailing Address - Country:US
Mailing Address - Phone:918-426-3658
Mailing Address - Fax:
Practice Address - Street 1:5498 W CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-1767
Practice Address - Country:US
Practice Address - Phone:918-426-3658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging