Individual
STACY A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
Mailing address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0126472
OK
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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