Individual
MRS. MARLYN SUE HOLSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
303 E COURT ST, ATOKA, OK 74525-2047
(580) 889-3399
Mailing address
PO BOX 1044, ATOKA, OK 74525-1044
(580) 364-6839
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0044010
OK
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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