TEDDY ALLEN PENNYPACKER

PRYOR, OK
NPI1073020897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: OK  0058244)
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
TEDDY ALLEN PENNYPACKER RN
231 E GRAHAM AVE
PRYOR, OK 74361-2436
Phone number: 918-825-1405
Mailing Address
TEDDY ALLEN PENNYPACKER RN
231 E GRAHAM AVE
PRYOR, OK 74361-2436
Phone number: 918-825-1405
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