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Individual

DARREN EUGENE RICHISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
24005 W HIGHWAY 16, BRISTOW, OK 74010-4251
(918) 813-2066

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89992
OK

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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