JEREMY E SPRAGUE

TAHLEQUAH, OK
NPI1578333134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0062716)
Enumeration Date2024-01-04
Last Update Date2024-01-04
Business Address
JEREMY E SPRAGUE LPN
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
Mailing Address
JEREMY E SPRAGUE LPN
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078