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Individual

PATRICIA DEARING ELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 S MAIN ST, MCALESTER, OK 74501
(918) 429-4580
(918) 420-5887
Mailing address
303 N WEST ST, MCALESTER, OK 74501-4361
(918) 429-4580
(918) 420-5887

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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