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Individual

MELISSA CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3405 W PITTSBURG ST, BROKEN ARROW, OK 74012-6112
(918) 760-7980
Mailing address
3405 W PITTSBURG ST, BROKEN ARROW, OK 74012-6112
(918) 760-7980

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0078791
OK
363LF0000X
Family Nurse Practitioner
Primary
78791
OK

Other

Enumeration date
11/18/2016
Last updated
01/12/2017
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