SUSAN HURST

ADA, OK
NPI1326025859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: OK  69564)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: OK  R0069564)
Enumeration Date2005-12-27
Last Update Date2015-01-06
Business Address
-- SUSAN HURST CNM
1921 STONECIPHER BLVD
ADA, OK 74820-3439
Phone number: 580-436-3980
Mailing Address
-- SUSAN HURST CNM
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-421-4570
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