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Individual

BETTY GUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
205 E RAY FINE BLVD STE 6, ROLAND, OK 74954-5381
(918) 503-6235
(918) 503-6239
Mailing address
4763 E 1095 RD, ROLAND, OK 74954-5050

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29631
OK
164W00000X
Licensed Practical Nurse
L030492
AR

Other

Enumeration date
07/16/2015
Last updated
03/17/2018
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