| NPI | 1639602873 |
|---|---|
| Doing Business As | MAGNOLIA CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATIE LUANNE FROST Ap RN Cnp/Owner 405-249-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 86085) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |