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Individual

MARGARET BACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., IBCLC, RLC

Contact information

Practice address
2520 NW 59TH ST, OKLAHOMA CITY, OK 73112-7109
(405) 848-5055
Mailing address
2520 NW 59TH ST, OKLAHOMA CITY, OK 73112-7109
(405) 848-5055

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
03/29/2009
Last updated
03/29/2009
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