Individual
AMANDA RUMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Mailing address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0114300
OK
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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