Individual
STEPHANIE LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9250
Mailing address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0078851
OK
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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