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1154873743
MICHELLE RENEE STURDIVANT
MOORE, OK
NPI
1154873743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OK 100094)
Enumeration Date
2016-10-29
Last Update Date
2016-10-29
Business Address
-- MICHELLE RENEE STURDIVANT NP
616 SW 6TH ST
MOORE, OK 73160-2511
Phone number: 405-595-6969
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Mailing Address
-- MICHELLE RENEE STURDIVANT NP
616 SW 6TH ST
MOORE, OK 73160-2511
Phone number: 405-595-6969
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