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Individual

PENNI YOUNG GARLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC, ARNP

Contact information

Practice address
1101 S BELMONT AVE, STE. 105, OKMULGEE, OK 74447-6315
(918) 756-2533
(918) 756-9588
Mailing address
1101 S BELMONT AVE, STE. 105, OKMULGEE, OK 74447-6315
(918) 756-2533
(918) 756-9588

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R0076634
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200053850A
OK
Enumeration date
04/17/2006
Last updated
05/01/2014
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