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Individual

SHERRI WORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
107 N MAIN ST, KINGFISHER, OK 73750-2730
(405) 375-3735
Mailing address
404 S 10TH ST, KINGFISHER, OK 73750-3015
(405) 201-1920

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50429
OK

Other

Enumeration date
01/05/2018
Last updated
01/05/2018
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