Individual
MRS. TERESA LYNN CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
(580) 765-7289
Mailing address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
(580) 765-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99702
OK
Other
Enumeration date
04/02/2009
Last updated
12/06/2011
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