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Individual

CARMELLIA MARIE HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
4913 W. RENO, OKLAHOMA CITY, OK 73127
(405) 948-4900
(405) 948-4919
Mailing address
8404 CANYON TRAIL DRIVE, OKLAHOMA CITY, OK 73135
(405) 200-9372

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R0069271
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R0069271
NURSING LICENSE
OK
Enumeration date
03/16/2007
Last updated
10/21/2009
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