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Individual

MRS. REBECCA YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7801 S OAK PL, BROKEN ARROW, OK 74011
(918) 406-7264
Mailing address
7801 S OAK PL, BROKEN ARROW, OK 74011-6230
(918) 406-7264

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96847
OK
363LP2300X
Primary Care Nurse Practitioner
Primary
96847
OK

Other

Enumeration date
01/29/2016
Last updated
08/26/2019
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