Individual
KAITLIN DIANNE BATESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
1309 REAVIS XING, CLAREMORE, OK 74019-8300
(580) 819-3209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18305
OK
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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