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Individual

RITA M. DRYWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
215 N FAIRLAND ST, PRYOR, OK 74361-4207
(918) 373-8003
Mailing address
215 N FAIRLAND ST, PRYOR, OK 74361-4207
(918) 373-8003

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0025316
OK

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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