Individual
MELINDA RUTH PALMISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 341-6200
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47331
OK
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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