Individual
STEPHANIE RENE COOKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 E 6TH AVE, #B, STILLWATER, OK 74074-3732
(405) 372-1250
Mailing address
800 E 6TH AVE, #B, STILLWATER, OK 74074-3732
(405) 372-1250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0108077
OK
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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