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CHARLYSA DIANA GATLIN CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CNP

Contact information

Practice address
905 COLONY DR, ADA, OK 74820-2329
(580) 436-5111
Mailing address
2900 S TELEPHONE RD STE 250, MOORE, OK 73160-2969
(405) 237-7500

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105641
OK

Other

Enumeration date
06/03/2017
Last updated
02/22/2023
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