JEANINE DIANNE DETERDING

PONCA CITY, OK
NPI1033117072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: OK  R0045604)
Enumeration Date2005-07-13
Last Update Date2007-07-08
Business Address
-- JEANINE DIANNE DETERDING ARNP
306 FAIRVIEW AVE
PONCA CITY, OK 74601-2001
Phone number: 580-762-3342
Mailing Address
-- JEANINE DIANNE DETERDING ARNP
306 FAIRVIEW AVE
PONCA CITY, OK 74601-2001
Phone number: 580-762-3342
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