Individual
PAIGE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9112 PINE CREEK DR, MIDWEST CITY, OK 73130-4266
(405) 317-3479
Mailing address
9112 PINE CREEK DR, MIDWEST CITY, OK 73130-4266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0064226
OK
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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