Individual
STEPHANE LYNN JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S MAIN ST, WETUMKA, OK 74883-4015
(405) 452-5400
(405) 452-3000
Mailing address
PO BOX 236, WETUMKA, OK 74883-0236
(405) 452-5400
(405) 452-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219036
OK
Other
Enumeration date
10/16/2023
Last updated
11/06/2024
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