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Organization

DEBORAH L. NILSON, DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH LYNN NILSON D.O. (OWNER)
(405) 775-9350
Entity
Organization

Contact information

Practice address
3855 S BOULEVARD ST, SUITE 400, EDMOND, OK 73013-5498
(405) 285-9789
(405) 285-9712
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 775-9350
(405) 775-9360

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4373
OK

Other

Enumeration date
11/20/2009
Last updated
02/01/2010
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