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Individual

EDITH MCGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3015 E SKELLY DR, SUITE 103, TULSA, OK 74105-6317
(918) 712-0859
(918) 388-6456
Mailing address
3015 E SKELLY DR, SUITE 103, TULSA, OK 74105-6317
(918) 712-0859
(918) 388-6456

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
C4205613
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100746170B
OK
05
100746170G
OK
05
100746170U
OK
05
100746170W
OK
05
100746170X
OK
Enumeration date
04/28/2015
Last updated
04/28/2015
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