KATHERINE DEATHERAGE

TAHLEQUAH, OK
NPI1134559180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: OK  37V064210311)
Enumeration Date2013-11-12
Last Update Date2013-11-12
Business Address
-- KATHERINE DEATHERAGE
1200 W 4TH ST STE. D
TAHLEQUAH, OK 74464-5013
Phone number: 918-485-0113
Mailing Address
-- KATHERINE DEATHERAGE
PO BOX 662
PURCELL, OK 73080-0662
Phone number: 405-527-1785
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