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1144077553
KIMBERLY MICHELL SCAGGS
ADA, OK
NPI
1144077553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OK 217660)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
KIMBERLY MICHELL SCAGGS AGACNP
430 N MONTE VISTA ST
ADA, OK 74820-4657
Phone number: 580-332-2323
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Mailing Address
KIMBERLY MICHELL SCAGGS AGACNP
5630 TRIPLE L RD
DAVIS, OK 73030-9486
Phone number: 580-618-2413
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