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Individual

DAVID DELOERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN MSN, AACNS-AG

Contact information

Practice address
3366 NW EXPRESSWAY STE 550, OKLAHOMA CITY, OK 73112-4489
(405) 408-9770
Mailing address
3366 NW EXPRESSWAY STE 550, OKLAHOMA CITY, OK 73112-4489
(405) 408-9770

Taxonomy

Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
99089
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99089
STATE OF OK RN LICENSE
OK
Enumeration date
07/25/2018
Last updated
07/25/2018
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