Individual
MRS. BETTY J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
201 E CHESTNUT AVE, PONCA CITY, OK 74601-4311
(580) 763-0931
(580) 763-0934
Mailing address
512 LORA AVE, PONCA CITY, OK 74601-1322
(580) 765-2897
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R0030968
OK
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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