WILDA SAMPLE

SAPULPA, OK
NPI1740751916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  58734)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
WILDA SAMPLE
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-216-4999
Mailing Address
WILDA SAMPLE
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number:
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