Individual
DAWNITA R RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
8703 80TH ST, NOBLE, OK 73068-9741
(405) 820-5857
Mailing address
8703 80TH ST, NOBLE, OK 73068-9741
(405) 820-5857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10181005
OK
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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