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1174264733
STEPHANIE LYNN PAINE
TAHLEQUAH, OK
NPI
1174264733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OK 207208)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
STEPHANIE LYNN PAINE APRN, FNP-C
205 HARRIS CIR STE 102
TAHLEQUAH, OK 74464-8849
Phone number: 918-458-2487
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Mailing Address
STEPHANIE LYNN PAINE APRN, FNP-C
600 MAY AVE
TAHLEQUAH, OK 74464-4821
Phone number: 918-506-0315
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