Individual
REBECCA LYNN MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 E 12TH ST, ADA, OK 74820-6501
(580) 436-2690
(580) 436-5539
Mailing address
111 E 12TH ST, ADA, OK 74820-6501
(580) 436-2690
(580) 436-5539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93282
OK
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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