SEAN WAYNE POE

TAHLEQUAH, OK
NPI1710905039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R0058266)
Enumeration Date2006-07-17
Last Update Date2007-07-09
Business Address
-- SEAN WAYNE POE CRNA
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3115
Mailing Address
-- SEAN WAYNE POE CRNA
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3115
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