IDA REBECCA STEPHENSON

TAHLEQUAH, OK
NPI1982611273
Former NameIDA ELLIS STEPHENSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OK  33496)
Enumeration Date2006-08-01
Last Update Date2007-07-09
Business Address
-- IDA REBECCA STEPHENSON CNM
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
-- IDA REBECCA STEPHENSON CNM
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
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