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Marcia Ricketson, P.A.C

NPI 1720010416 · on the registry since 2006 · sole proprietor

Practice

Address
216 Ne 12th St
Moore, OK 73160
Phone
(405) 794-2530
Fax
(866) 371-6223

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-17

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