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Individual

MRS. LEONA DAWN CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
122 W 4TH AVE, BRISTOW, OK 74010-2823
(918) 771-3830
Mailing address
PO BOX 962, KELLYVILLE, OK 74039-0962
(918) 771-3830

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3454
OK

Other

Enumeration date
02/19/2026
Last updated
02/19/2026
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