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Individual

MALLARY RUTH MALWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5500 N WESTERN AVE, SUITE 212, OKLAHOMA CITY, OK 73118-4019
(866) 542-3648
(405) 810-8682
Mailing address
5500 N WESTERN AVE, SUITE 212, OKLAHOMA CITY, OK 73118-4019
(866) 542-3648
(405) 810-8682

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92788
OK

Other

Enumeration date
11/15/2011
Last updated
03/26/2015
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