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Individual

REONDA RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
411 S CENTRAL AVE, IDABEL, OK 74745-6059
(580) 286-5045
(580) 286-5721
Mailing address
107 S HIGH ST, ANTLERS, OK 74523-3818
(580) 298-2830
(580) 298-6723

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0027750
OK

Other

Enumeration date
03/23/2015
Last updated
03/23/2015
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