Individual
RUBY PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
54790
OK
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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