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Individual

BRITTANY NICOLE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 N DOUGLAS AVE, SAND SPRINGS, OK 74063-8906
(918) 891-8138
Mailing address
1000 N DOUGLAS AVE, SAND SPRINGS, OK 74063-8906

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
211463
OK

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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