Individual
MARY NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 577-5477
Mailing address
616 N CENTENNIAL WAY, MUSTANG, OK 73064-2021
(405) 376-1324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0046294
OK
Other
Enumeration date
04/03/2018
Last updated
06/23/2020
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