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Individual
DAVID MICHAEL RACKLEY
Active
Individual
DAVID MICHAEL RACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R0112063
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R0112063
OK
Other
Enumeration date
10/31/2020
Last updated
07/22/2021
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