MARY GRACE DIFUNTORUM

MUSTANG, OK
NPI1659078129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  210920)
Enumeration Date2023-02-14
Last Update Date2024-10-09
Business Address
Mrs. MARY GRACE DIFUNTORUM APRN, FNP
160 E SW 59TH ST
MUSTANG, OK 73064-4722
Phone number: 405-730-6990
Mailing Address
Mrs. MARY GRACE DIFUNTORUM APRN, FNP
PO BOX 45561
OKLAHOMA CITY, OK 73145-0561
Phone number:
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