Individual
MRS. SHERRY DAVIS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 NW 179TH CT, EDMOND, OK 73012
(405) 606-5123
Mailing address
2545 NW 179TH CT, EDMOND, OK 73012-0669
(405) 606-5123
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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