Individual
MRS. DONNITA ANN ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 331-3338
(580) 331-3349
Mailing address
906 N GRANT ST, CORDELL, OK 73632-2832
(580) 816-0606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82844
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82844
NURSING LICENSE
OK
Enumeration date
03/15/2007
Last updated
01/05/2011
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