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Individual

ANTONIA M PRATT-REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
11109 SURREY HILLS BLVD, YUKON, OK 73099-8155
(405) 373-2400
(405) 373-4400
Mailing address
PO BOX 660, PIEDMONT, OK 73078-0660
(405) 373-2400
(405) 373-4400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0050603
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100203760C
OK
01
P00027716
RR MEDICARE
OK
Enumeration date
06/12/2006
Last updated
03/15/2016
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