Individual
CAROL DEONNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4011 GULICK ST, MUSKOGEE, OK 74403-8660
(918) 577-0509
Mailing address
4011 GULICK ST, MUSKOGEE, OK 74403-8660
(918) 577-0509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0084674
OK
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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