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Individual

GRETA TRINETTE BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12601 N PENNSYLVANIA AVE APT 18, OKLAHOMA CITY, OK 73120-9400
(405) 749-8083
Mailing address
12601 N PENNSYLVANIA AVE APT 18, OKLAHOMA CITY, OK 73120-9400
(405) 749-8083

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37V499340614
OK

Other

Enumeration date
04/22/2015
Last updated
04/22/2015
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