Individual
MEGAN DIANE RASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 PARKLAND AVE, CLAREMORE, OK 74017-4411
(918) 244-9175
Mailing address
1201 PARKLAND AVE, CLAREMORE, OK 74017-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106330
OK
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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