Individual
CARLEY DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(405) 424-7711
Mailing address
357625 E 1030 RD, PRAGUE, OK 74864-1063
(405) 567-9462
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
66637
OK
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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