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Individual

SAMANTHA JO RIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
615 E OKLAHOMA AVE STE 202, ENID, OK 73701-5952
(580) 233-3230
Mailing address
1324 W CHEROKEE AVE, ENID, OK 73703-5731
(580) 747-9993

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220140
OK

Other

Enumeration date
09/09/2024
Last updated
03/16/2026
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