Individual
JULIA PROFIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 N 20TH ST, COLLINSVILLE, OK 74021-1604
(918) 805-2590
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0069545
OK
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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