Individual
HALEY NICOLE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(844) 458-2100
Mailing address
1804 S OKLAHOMA ST, PRYOR, OK 74361-8613
(918) 541-6175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0126052
OK
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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