Individual
MEGAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
97405
OK
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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