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Individual

MRS. CIE CHLOEE PSHIGODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
8409 SUMMIT AVE, SKIATOOK, OK 74070
(918) 808-0583
Mailing address
8409 SUMMIT AVE, SKIATOOK, OK 74070-5540
(918) 808-0583

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
117717
OK
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
12/04/2009
Last updated
06/12/2018
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