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Dusty Rollice, PRSS

NPI 1265166193 · on the registry since 2022

Practice

Address
1323 W Keetoowah St
Tahlequah, OK 74464
Phone
(918) 316-0573
Organisation at this address
Loftin Family Practice
Northeastern Health System
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-15

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