Individual
MARIAN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 932-5117
Mailing address
PO BOX 6, SAPULPA, OK 74067-0006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0021863
OK
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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