Individual
VICKI BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 NW E ST, STIGLER, OK 74462-1870
(918) 448-6430
(918) 967-5124
Mailing address
309 N.W. 'E' STREET, STIGLER, OK 74462
(918) 448-6430
(918) 967-5124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0079011
OK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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