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1154152403
DALE WAYNE TITSWORTH
OKLAHOMA CITY, OK
NPI
1154152403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 219785)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
DALE WAYNE TITSWORTH NP
4140 W MEMORIAL RD STE 518
OKLAHOMA CITY, OK 73120-8300
Phone number: 405-749-4230
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Mailing Address
DALE WAYNE TITSWORTH NP
1501 NE 6TH ST
MOORE, OK 73160-7937
Phone number: 405-496-4783
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