Individual
MRS. SARAH ELIZABETH BUSACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 756-1414
Mailing address
916 N 6TH AVE, PURCELL, OK 73080-2207
(405) 637-5625
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
221033
OK
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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