Individual
CHERYL MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 COUNTY STREET 2935, TUTTLE, OK 73089-2414
(405) 265-9954
Mailing address
768 COUNTY STREET 2935, TUTTLE, OK 73089-2414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0122179
OK
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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