Individual
CARMEN SANDER CUMPSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3201 N VAN BUREN ST STE 400, ENID, OK 73703-1800
(580) 237-1877
Mailing address
3201 N VAN BUREN ST STE 400, ENID, OK 73703-1800
(580) 297-6697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2692
OK
Other
Enumeration date
11/08/2016
Last updated
08/09/2021
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