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Individual

REBECCA DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 402-3210
Mailing address
40 OLD POST LN, ENID, OK 73703-2210

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89081
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
89081
OK

Other

Enumeration date
11/15/2012
Last updated
10/27/2023
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