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Individual

GLENDA GENE CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
21 N MAIN ST, KINGSTON, OK 73439-6562
(580) 564-7885
(580) 564-7902
Mailing address
610 E 24TH, TISHOMINGO, OK 73460
(580) 371-2343
(580) 371-2451

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
67070
OK
363LF0000X
Family Nurse Practitioner
Primary
R0067070
OK

Other

Enumeration date
03/27/2009
Last updated
12/19/2022
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