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1144831017
ASHLEY DAWN SOURJOHN
CLAREMORE, OK
NPI
1144831017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK F07201695)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
ASHLEY DAWN SOURJOHN
206 E BLUE STARR DR
CLAREMORE, OK 74017-4223
Phone number: 918-341-8100
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Mailing Address
ASHLEY DAWN SOURJOHN
206 E BLUE STARR DR
CLAREMORE, OK 74017-4223
Phone number: 918-341-8100
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