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Individual

CARLY STRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
2007 N COMMERCE ST STE 246, ARDMORE, OK 73401-1394
(580) 226-3003
(580) 798-3124
Mailing address
2007 N COMMERCE ST STE 246, ARDMORE, OK 73401-1394
(580) 226-3003
(580) 798-3124

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
0112615
OK
363LW0102X
Women's Health Nurse Practitioner
Primary
112615
OK

Other

Enumeration date
10/24/2018
Last updated
02/17/2020
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