Individual
MRS. JOHNETTE L ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1400 BRYAN DR, #300, DURANT, OK 74702
(580) 924-1700
(580) 924-1736
Mailing address
1400 BRYAN DR, #300, DURANT, OK 74702
(580) 924-1700
(580) 924-1736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
D6284612
OK
Other
Enumeration date
06/01/2007
Last updated
08/24/2010
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