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Individual

DR. BEVERLY J RUBINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8406 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 232-2771
(918) 585-8096
Mailing address
8406 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 232-2771
(918) 585-8096

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20482
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8729
OBN
OK
Enumeration date
10/26/2012
Last updated
10/26/2012
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