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Individual

MRS. KASSIDY MALIA LEGRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
2448 E 81ST ST, TULSA, OK 74137-4250
(888) 782-7114
Mailing address
849 WOODLAND HILLS AVE, ROGERSVILLE, MO 65742-9417
(888) 782-7114

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025040821
MO

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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