Individual
KASSANDRA BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 S CENTRAL AVE, IDABEL, OK 74745-6059
(580) 286-5045
Mailing address
411 S CENTRAL AVE, IDABEL, OK 74745-6059
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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