PHYLLIS CAROL NOLAN

TAHLEQUAH, OK
NPI1700803616
Former NamePHYLLIS CAROL NOLAN-SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  2389)
Enumeration Date2006-07-16
Last Update Date2007-07-09
Business Address
-- PHYLLIS CAROL NOLAN D.O.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3360
Mailing Address
-- PHYLLIS CAROL NOLAN D.O.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3360
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