Individual
MRS. PATTI JANE IRUEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(580) 353-1131
(580) 355-0994
Mailing address
PO BOX 33326, FORT SILL, OK 73503-0326
(580) 353-1131
(580) 355-0994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0026655
OK
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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