Individual
DARITA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9250
Mailing address
1708 N MISSION LN, OKMULGEE, OK 74447-2110
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
99888
OK
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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