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Individual

JUSTIN ISSAC RAMMAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-5280
(580) 272-1660
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 332-2323
(580) 272-1660

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114141
OK

Other

Enumeration date
01/30/2019
Last updated
10/05/2021
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