SUZZIE J WALDENVILLE

STIGLER, OK
NPI1386701696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  627)
Enumeration Date2007-01-03
Last Update Date2009-04-30
Business Address
-- SUZZIE J WALDENVILLE P.A.-C
401 NW H ST
STIGLER, OK 74462-1625
Phone number: 918-967-4682
Mailing Address
-- SUZZIE J WALDENVILLE P.A.-C
401 NW H ST P.O. BOX 728
STIGLER, OK 74462-1625
Phone number: 918-967-4682
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