Individual
MRS. VIRGINIA MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-4491
Mailing address
RR 1 BOX 218, PAWHUSKA, OK 74056-9718
(918) 287-4491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52134
OK
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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