Individual
BONNIE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 REYNOLDS AVE, POTEAU, OK 74953-4724
(405) 573-9905
Mailing address
1212 REYNOLDS AVE, POTEAU, OK 74953-4724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0119622
OK
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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