Individual
CASSIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 SE 74TH ST, OKLAHOMA CITY, OK 73135-1087
(405) 600-6869
Mailing address
16226 S WESTMINSTER RD, OKLAHOMA CITY, OK 73165-7041
(405) 812-9513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67826
OK
Other
Enumeration date
08/07/2018
Last updated
11/07/2018
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