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1548255599
KIM SPROUSE CLEMENTS
OKLAHOMA CITY, OK
NPI
1548255599
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Former Name
KIM A. SPROUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0030796)
Enumeration Date
2005-09-15
Last Update Date
2014-07-01
Business Address
Mrs. KIM SPROUSE CLEMENTS APRN, CNP
13321 N MERIDIAN AVE H-MD MEDSPA
OKLAHOMA CITY, OK 73120-8356
Phone number: 405-463-5700
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Mailing Address
Mrs. KIM SPROUSE CLEMENTS APRN, CNP
13321 N MERIDIAN AVE H-MD MEDSPA
OKLAHOMA CITY, OK 73120-8356
Phone number: 405-463-5700
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