Individual
PAMELA JO MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 NW EXPRESSWAY, SUITE 624 A, OKLAHOMA CITY, OK 73112-7227
(405) 242-5070
(405) 242-5071
Mailing address
1808 COUNCIL BLUFF DR, EDMOND, OK 73013-6867
(405) 348-2127
(405) 242-5071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0030695
OK
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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