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1053705673
QIONG MU ROSS
ADA, OK
NPI
1053705673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 99604)
Enumeration Date
2015-03-20
Last Update Date
2021-11-22
Business Address
QIONG MU ROSS APRN-CNP
905 COLONY DR
ADA, OK 74820-2329
Phone number: 580-436-5111
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Mailing Address
QIONG MU ROSS APRN-CNP
527 W 3RD ST
KONAWA, OK 74849-1415
Phone number: 580-925-3286
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