Individual
CORA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
1549 S. 30TH CT, BROKEN ARROW, OK 74014
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0119398
OK
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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