Individual
KRISTIE CHERRY
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
10754 S 4120 RD, OOLOGAH, OK 74053-6352
(918) 851-2105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79387
OK
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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