Individual
KIMBERLY DAWN WEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 PINTO LN, SAPULPA, OK 74066-6855
(918) 227-2208
Mailing address
611 PINTO LN, SAPULPA, OK 74066-6855
(918) 227-2208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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