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1013969625
SUSAN BYRD GRANDLE
OKLAHOMA CITY, OK
NPI
1013969625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0028064)
Enumeration Date
2006-05-16
Last Update Date
2023-03-07
Business Address
Mrs. SUSAN BYRD GRANDLE ARNP, PHD.
5622 N PORTLAND AVE #102
OKLAHOMA CITY, OK 73112-2096
Phone number: 405-917-7590
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Mailing Address
Mrs. SUSAN BYRD GRANDLE ARNP, PHD.
5622 N PORTLAND AVE @102
OKLAHOMA CITY, OK 73112-2096
Phone number: 405-917-7590
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