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Individual

MS. EMMA S BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-4100
Mailing address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-4100

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9220
OK

Other

Enumeration date
10/20/2022
Last updated
10/17/2025
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