Individual
BETHANY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 E LINCOLN RD, IDABEL, OK 74745-7353
(580) 286-6639
Mailing address
PO BOX 579, MCALESTER, OK 74502-0579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99558
OK
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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