Individual
STEFANIE LABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 S KERR BLVD, SALLISAW, OK 74955-7240
(800) 640-9741
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(800) 640-9741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213192
OK
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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