Individual
STACY SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W CHEROKEE AVE STE B, ENID, OK 73701-5616
(580) 297-5125
(580) 297-5125
Mailing address
317 W CHEROKEE AVE STE B, ENID, OK 73701-5616
(580) 297-5125
(580) 297-5125
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37V312690404
OK
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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