Individual
SANDRA B BOLSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1923 S DIVISION, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, GUTHRIE, OK 73044
(405) 282-1830
(405) 282-1861
Mailing address
1222 10TH STREET, SUITE 211 NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK 73801-3156
(405) 282-1830
(405) 282-1861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
18819
OK
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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