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Individual

LORRIE A. PASTORELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2100
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0086013
OK

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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