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Individual

MS. STEPHANIE BADAROUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
604 STURTZ CIR, NORMAN, OK 73072-3720
(405) 819-9666
Mailing address
604 STURTZ CIR, NORMAN, OK 73072-3720

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1791
OK
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/17/2014
Last updated
02/23/2018
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