Individual
JILL RABURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017-3737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61570
OK
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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