BONNIE NADAENE GRUDE

SHAWNEE, OK
NPI1154905321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  201526)
Enumeration Date2021-05-12
Last Update Date2022-07-11
Business Address
BONNIE NADAENE GRUDE
5903 GABRIEL
SHAWNEE, OK 74804-9334
Phone number: 918-470-0324
Mailing Address
BONNIE NADAENE GRUDE
701 NE 36TH ST
OKLAHOMA CITY, OK 73105-7203
Phone number:
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