Individual
DARA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8703 N OWASSO EXPY STE R, OWASSO, OK 74055-2671
(918) 888-4024
(918) 889-4025
Mailing address
8703 N OWASSO EXPY STE R, OWASSO, OK 74055-2671
(918) 888-4024
(918) 889-4025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126680
OK
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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