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Individual

DR. CYNTHIA DANIELLE SKELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3300
Mailing address
317 E 20TH ST, ELK CITY, OK 73644-6902
(386) 213-2879

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
102664
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000130400
FL
Enumeration date
07/25/2007
Last updated
12/14/2020
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