Individual
PAULETTA MAE BEARPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
859 E MELTON DR, JAY, OK 74346-2704
(918) 253-4271
(918) 253-4938
Mailing address
859 E MELTON DR, JAY, OK 74346-2704
(918) 253-4271
(918) 253-4938
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0038508
OK
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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