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1003584244
SASHA LOUNMALA
MUSKOGEE, OK
NPI
1003584244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KS 53-80085-082)
Enumeration Date
2021-09-02
Last Update Date
2021-09-08
Business Address
SASHA LOUNMALA
1011 HONOR HEIGHTS DR # 118
MUSKOGEE, OK 74401-1318
Phone number: 918-348-2236
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Mailing Address
SASHA LOUNMALA
PO BOX 364
BIXBY, OK 74008-0364
Phone number:
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