MISTI BALLEW

MUSKOGEE, OK
NPI1821481334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  91434)
Enumeration Date2015-03-07
Last Update Date2015-10-22
Business Address
-- MISTI BALLEW
3520 CHANDLER RD
MUSKOGEE, OK 74403-4910
Phone number: 918-478-6005
Mailing Address
-- MISTI BALLEW
PO BOX 751
HULBERT, OK 74441-0751
Phone number: 918-772-3390
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