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Individual

MR. LINN RAY NIGHTINGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
9322 E 41ST ST, TULSA, OK 74145-3721
(918) 764-7235
Mailing address
15875 S WILLOW LN, SAPULPA, OK 74066-6367
(918) 321-3343

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
09/13/2006
Last updated
07/08/2007
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