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Individual

AUTUMN KRIS ANN BECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 308-5513
(918) 253-6645
Mailing address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 308-5513
(918) 253-6645

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
223700
AR

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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