Individual
TAMMY PAULING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1215 NW 25TH ST, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
Mailing address
633 S 28TH ST, CLINTON, OK 73601-4901
(580) 331-7012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0038378
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0038378
LPN
OK
Enumeration date
08/01/2017
Last updated
06/16/2018
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