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Individual

MRS. CANDAYCE MELEA COULTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE

Contact information

Practice address
2601 W MAIN ST, DUNCAN, OK 73533-2444
(580) 255-7053
Mailing address
4301 MOWWAY RD.-REYNOLD'S ARMY COMMUNITY HOSPITAL, ATTN: MCUA-QS MS. PRESCOTT, FORT SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
R0026752
OK

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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