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1417071036
DESHEA DONOVAN CARTER
TAHLEQUAH, OK
NPI
1417071036
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Former Name
DESHEA DONOVAN MITCHELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 100954)
Enumeration Date
2007-03-19
Last Update Date
2012-01-12
Business Address
MS. DESHEA DONOVAN CARTER ARPN
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
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Mailing Address
MS. DESHEA DONOVAN CARTER ARPN
605 W 3RD ST
TAHLEQUAH, OK 74464-4624
Phone number: 918-822-7758
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