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Individual

SASHA LOUNMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 HONOR HEIGHTS DR # 118, MUSKOGEE, OK 74401-1318
(918) 348-2236
Mailing address
PO BOX 364, BIXBY, OK 74008-0364

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-80085-082
KS

Other

Enumeration date
09/02/2021
Last updated
09/08/2021
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