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Individual

RUBY CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5550 S GARNETT RD, TULSA, OK 74146-6831
(918) 665-2501
(918) 665-3966
Mailing address
5550 S GARNETT RD, TULSA, OK 74146-6831
(918) 665-2501
(918) 665-3966

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
70909
OK

Other

Enumeration date
10/08/2021
Last updated
10/08/2021
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