Individual
TERAH KALENE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6471
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6471
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
52014
OK
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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