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Individual

MRS. MELINDA RAYLENE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 252-8805
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 252-8805

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
R0091049
OK

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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