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Search › Oklahoma › 103K00000X

Misty Wallace

NPI 1427342856 · on the registry since 2011

Practice

Address
3140 W Britton Rd
Ste 204
Oklahoma City, OK 73120
Phone
(405) 608-4425
Organisation at this address
Absf, Llc
Absf, Llc
Brenda E. Richardson, Pt
Nathan Valentine Md Pllc
Mercy Diabetic Supply Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma