Individual
DEBRA TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26062 HIGHWAY 82, PARK HILL, OK 74451-4040
(918) 456-4501
Mailing address
26062 HIGHWAY 82, PARK HILL, OK 74451-4040
(918) 456-4501
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R0117958
OK
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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