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NPI Code Detail

MEDICARE: PAULINE CELSOR RN

MEDICARE: PAULINE CELSOR RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered NurseR102841OK

General Provider Information

NPI Number : 1699603357
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINE CELSOR RN
Provider Business Mailing Address
First Line : 4013 RAMSEY RD
Second Line :
City : YUKON
State : OK
Zip : 73099-3290
Country : US
Telephone Number : 405-226-3658
Fax Number :
Provider Business Practice Location Address
First Line : 800 FRISCO AVE
Second Line :
City : CLINTON
State : OK
Zip : 73601-3306
Country : US
Telephone Number : 405-226-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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