Individual
ALLISON MALLOY SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(205) 478-8662
Mailing address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(205) 478-8662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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