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1144943499
AMANDA MARIA PATTISON
PONCA CITY, OK
NPI
1144943499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 63231)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
AMANDA MARIA PATTISON
13 HILLCREST DR
PONCA CITY, OK 74604-4808
Phone number: 580-761-5197
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Mailing Address
AMANDA MARIA PATTISON
217 WESTBURY RD
PONCA CITY, OK 74601-7432
Phone number: 580-716-9384
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