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Individual

MRS. PATTY SUE POPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6510 S WESTERN, SUITE 100, OKLAHOMA CITY, OK 73139
(405) 634-5400
(405) 634-5174
Mailing address
8321 PICNIC LN, OKLAHOMA CITY, OK 73126
(405) 620-5315
(405) 634-5174

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
E0417039
OK
164W00000X
Licensed Practical Nurse
Primary
L0012930
OK

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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