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Individual

RACHAEL LEE MCCRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
400 WYANDOTTE AVE., RAMONA, OK 74061-0000
(918) 536-2104
Mailing address
400 WYANDOTTE AVE., RAMONA, OK 74061-0000
(918) 536-2104

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q6965
TX
207Q00000X
Family Medicine Physician
4927
OK
207Q00000X
Family Medicine Physician
Primary
Q6965
TX

Other

Enumeration date
07/13/2010
Last updated
03/18/2021
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