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Individual

KIMBERLEE JO SNIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 254-5511
Mailing address
42870 S COUNTY ROAD 214, MOORELAND, OK 73852-9038
(580) 574-4927

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R0105078
OK
363LF0000X
Family Nurse Practitioner
Primary
F0741269
OK

Other

Enumeration date
07/29/2024
Last updated
08/09/2024
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