Individual
PAULINE CIA DOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1910 S FALCON AVE, CLAREMORE, OK 74019
(918) 341-1000
(918) 403-6309
Mailing address
1910 S FALCON AVE, CLAREMORE, OK 74019-2237
(918) 341-1000
(918) 403-6309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
882
OK
Other
Enumeration date
12/05/2006
Last updated
06/13/2018
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