DESTINY L ROSE

EDMOND, OK
NPI1588264402
Former NameDESTINY L SHELTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  4412)
Enumeration Date2020-10-29
Last Update Date2025-06-23
Business Address
DESTINY L ROSE PA-C
2000 E 15TH ST STE 400A
EDMOND, OK 73013-6673
Phone number: 405-692-1557
Mailing Address
DESTINY L ROSE PA-C
2000 E 15TH ST STE 400A
EDMOND, OK 73013-6673
Phone number: 405-341-1697
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