Individual
MRS. SHEA LYN DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16 S WATER ST, SAPULPA, OK 74066-4232
(918) 347-9022
Mailing address
16 S WATER ST, SAPULPA, OK 74066-4232
(405) 613-3879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206256
OK
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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