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Contact Information

DORIS J PETTY, RN
200 WANDA
MARIETTA, OK73448
 Phone: 580-276-3323
 Fax: 580-276-3324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DORIS J PETTY · (Female)

NPI Number 1083811871
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/27/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R0027558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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