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Organization
ST JOHN SAPULPA
Active
Organization
ST JOHN SAPULPA
Active
Other names
Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA SUE NAGEL (DIRECTOR OF OPERATIONS)
(918) 224-4280
Entity
Organization
Contact information
Practice address
1004 E BRYAN, SAPULPA, OK 74066-1368
(918) 224-4280
(918) 224-6290
Mailing address
1004 E BRYAN, SAPULPA, OK 74066-1368
(918) 224-4280
(918) 224-6290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2310
OK
Other
Enumeration date
08/15/2008
Last updated
08/19/2008
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