DESHEA DONOVAN CARTER

TAHLEQUAH, OK
NPI1417071036
Former NameDESHEA DONOVAN MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  100954)
Enumeration Date2007-03-19
Last Update Date2012-01-12
Business Address
Ms. DESHEA DONOVAN CARTER ARPN
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
Ms. DESHEA DONOVAN CARTER ARPN
605 W 3RD ST
TAHLEQUAH, OK 74464-4624
Phone number: 918-822-7758