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Individual

HEATHER RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5606 SW LEE BLVD STE 302, LAWTON, OK 73505-9618
(580) 531-6470
Mailing address
5606 SW LEE BLVD STE 302, LAWTON, OK 73505-9618
(580) 531-6470

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219544
OK

Other

Enumeration date
07/24/2024
Last updated
04/18/2025
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