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1114573250
SAVANNAH CHANTAE DOUGHTY
MCALESTER, OK
NPI
1114573250
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Former Name
SAVANNAH CHANTAE GAMMON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 101472)
Enumeration Date
2019-08-14
Last Update Date
2021-04-02
Business Address
SAVANNAH CHANTAE DOUGHTY APRN
1201 E WADE WATTS AVE
MCALESTER, OK 74501-5655
Phone number: 918-794-6008
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Mailing Address
SAVANNAH CHANTAE DOUGHTY APRN
1201 E WADE WATTS AVE
MCALESTER, OK 74501-5655
Phone number: 918-794-6008
Copy
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