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1588264402
DESTINY L ROSE
OKLAHOMA CITY, OK
NPI
1588264402
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Former Name
DESTINY L SHELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 4412)
Enumeration Date
2020-10-29
Last Update Date
2022-12-11
Business Address
DESTINY L ROSE PA-C
9809 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159-6925
Phone number: 405-692-1557
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Mailing Address
DESTINY L ROSE PA-C
9809 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159-6925
Phone number: 405-693-1557
Copy
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