Individual
REBECKAH PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
Mailing address
PO BOX 579, MCALESTER, OK 74502-0579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117060
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117060
OK
Other
Enumeration date
04/25/2019
Last updated
06/10/2019
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