Individual
SHARON BOUVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 CREEK BANK DR, EDMOND, OK 73003-3546
(405) 414-8251
Mailing address
3920 CREEK BANK DR, EDMOND, OK 73003-3546
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
03/26/2025
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