Individual
RONALD AUSTIN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17776 W 103RD ST S, COUNCIL HILL, OK 74428-4227
(918) 910-0749
Mailing address
17776 W 103RD ST S, COUNCIL HILL, OK 74428-4227
(918) 910-0749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
206980
OK
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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