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Individual

KATHARINE SMITH RAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3115
OK

Other

Enumeration date
09/23/2019
Last updated
08/06/2024
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