Individual
DAWN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PARAPROFESSIONAL
Contact information
Practice address
871 PENDLETON ST, TAHLEQUAH, OK 74464-2273
(918) 458-4140
Mailing address
871 PENDLETON ST, TAHLEQUAH, OK 74464-2273
(918) 458-4140
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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