Individual
MS. DOROTHY KATHRYN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1500 N 6TH ST, PONCA CITY, OK 74601-2827
(580) 762-7561
(580) 762-2576
Mailing address
196 80 RD, PONCA CITY, OK 74604-6179
(580) 761-4811
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R64945
OK
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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