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Organization

URGENT CARE OF PAULS VALLEY APRN-CNP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LETITIA L JACKSON APRN-CNP (NURSE PRACTITIONER / OWNER)
(405) 238-3900
Entity
Organization

Contact information

Practice address
2000 W GRANT AVE, SUITE 2, PAULS VALLEY, OK 73075-9233
(405) 238-3900
(405) 238-3903
Mailing address
2000 W GRANT AVE, SUITE 2, PAULS VALLEY, OK 73075-9233
(405) 238-3900
(405) 238-3903

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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