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1346889169
JOY DIANE BUTLER
PONCA CITY, OK
NPI
1346889169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 0095792)
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
JOY DIANE BUTLER
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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Mailing Address
JOY DIANE BUTLER
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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