CHARLYSA DIANA GATLIN CASTILLO

ADA, OK
NPI1760910772
Former NameCHARLYSA DIANA GATLIN BRADY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OK  105641)
Enumeration Date2017-06-03
Last Update Date2023-02-22
Business Address
CHARLYSA DIANA GATLIN CASTILLO APRN CNP
905 COLONY DR
ADA, OK 74820-2329
Phone number: 580-436-5111
Mailing Address
CHARLYSA DIANA GATLIN CASTILLO APRN CNP
2900 S TELEPHONE RD STE 250
MOORE, OK 73160-2969
Phone number: 405-237-7500
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