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Individual

MRS. TAMMY JO YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
14479 STATE HIGHWAY 32, MARIETTA, OK 73448-5591
(580) 276-7635
Mailing address
14479 STATE HIGHWAY 32, MARIETTA, OK 73448-5591
(580) 276-7635

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0101059
OK

Other

Enumeration date
02/13/2013
Last updated
02/13/2013
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