Individual
DONNA DURANT-MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
315 SOUTH UTICA, TULSA, OK 74104
(918) 595-4167
Mailing address
315 S UTICA AVE, TULSA, OK 74104-2203
(918) 595-4167
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0035629
OK
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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