Individual
NICOLE RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
14817 GLENMARK DR, EDMOND, OK 73013-1823
(623) 512-7405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2939
OK
Other
Enumeration date
06/15/2018
Last updated
09/16/2024
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