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1518674563
STEPHANIE A RUCQUOY
HENRYETTA, OK
NPI
1518674563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 210661)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
STEPHANIE A RUCQUOY APRN
2403 W MAIN ST
HENRYETTA, OK 74437-3893
Phone number: 918-652-9650
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Mailing Address
STEPHANIE A RUCQUOY APRN
1145 S UTICA AVE STE 110
TULSA, OK 74104-4013
Phone number: 918-652-9650
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