CODI NICOLE CASTLEBERRY

OWASSO, OK
NPI1922508266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  2891)
Enumeration Date2018-02-13
Last Update Date2020-06-16
Business Address
Mrs. CODI NICOLE CASTLEBERRY PA
11426 N 134TH EAST AVE
OWASSO, OK 74055-4715
Phone number: 918-376-6345
Mailing Address
Mrs. CODI NICOLE CASTLEBERRY PA
11426 N 134TH EAST AVE
OWASSO, OK 74055-4715
Phone number: 918-376-6345
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