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1407435423
CASSONDRA MICHELLE RIDGWAY
SAND SPRINGS, OK
NPI
1407435423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 7653)
Enumeration Date
2021-04-06
Last Update Date
2024-07-03
Business Address
CASSONDRA MICHELLE RIDGWAY DO, MS
102 S MAIN ST
SAND SPRINGS, OK 74063-6509
Phone number: 918-245-2286
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Mailing Address
CASSONDRA MICHELLE RIDGWAY DO, MS
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number: 888-247-0125
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