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Individual

APRIL STATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
218 W MAIN ST, PURCELL, OK 73080-4222
(405) 890-1005
(405) 890-1007
Mailing address
PO BOX 506, PURCELL, OK 73080-0506
(405) 890-1005

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
227569
OK

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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