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Individual

CHELSEA RYAN WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CPNP

Contact information

Practice address
12455 E 100TH ST N STE 300, OWASSO, OK 74055-4678
(918) 274-9700
(918) 274-1395
Mailing address
12455 E 100TH ST N STE 300, OWASSO, OK 74055-4678

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
109513
OK

Other

Enumeration date
01/08/2020
Last updated
01/08/2020
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