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Individual

MRS. PATRICIA G BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN RN LTC NHA

Contact information

Practice address
1504 E MAIN ST, STIGLER, OK 74462-2805
(918) 413-9788
Mailing address
1504 E MAIN ST, STIGLER, OK 74462-2805
(918) 413-9788

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R0113507
OK

Other

Enumeration date
07/18/2023
Last updated
07/18/2025
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