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Individual

DORI RAYCOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3400 SE FRANK PHILLIPS BLVD SUITE 300, BARTLESVILLE, OK 74006
(832) 477-0343
Mailing address
3400 SE FRANK PHILLIPS BLVD, STE 300, BARTLESVILLE, OK 74006
(918) 331-2273

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R0107244
OK
363LF0000X
Family Nurse Practitioner
Primary
107244
OK

Other

Enumeration date
10/26/2015
Last updated
12/30/2015
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