Individual
MRS. FERRELL LYNN MITCHUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERFUSIONIST
Contact information
Practice address
13174 COUNTRY LN, OKLAHOMA CITY, OK 73165-8213
(405) 794-2893
Mailing address
13174 COUNTRY LN, OKLAHOMA CITY, OK 73165-8213
(405) 794-2893
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
023
OK
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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