Individual
SHARON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
19598 E BEAVERSON RD, TAHLEQUAH, OK 74464-0510
(918) 342-6252
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
R 0057915
OK
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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