Individual
KATHERINE SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9645 S INDIANAPOLIS AVE, TULSA, OK 74137-3920
(918) 704-5466
Mailing address
9645 S INDIANAPOLIS AVE, TULSA, OK 74137-3920
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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