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Individual

MRS. SANDRA KAY CLEPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1112
Mailing address
200 S TEXAS AVE, CHEROKEE, OK 73728-2311
(580) 748-2732

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0033825
OK

Other

Enumeration date
12/02/2013
Last updated
12/02/2013
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