Individual
MRS. JUNE OLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2525 E 1669TH RD, OTTAWA, IL 61350-9354
(405) 831-5159
Mailing address
2525 E 1669TH RD, OTTAWA, IL 61350-9354
(405) 831-5159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704258800NSA2105J
MI
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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