Individual
MANDY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
138 SOUTH MAIN, AFTON, OK 74331-1822
(918) 257-4244
(918) 257-4247
Mailing address
138 SOUTH MAIN, AFTON, OK 74331-1822
(918) 257-4244
(918) 257-4247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127756
OK
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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