Individual
MRS. VICTORIA N RUSH- WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0071417
OK
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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