Individual
CHARITY R BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1904 W BROADWAY AVE, SULPHUR, OK 73086-4248
(580) 622-6134
Mailing address
105 E MEEK ST, WAYNE, OK 73095-3340
(405) 412-2869
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
23001
OK
Other
Enumeration date
06/14/2017
Last updated
06/16/2018
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