Individual
MICHELE G PERDASOFPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM ROAD, LAWTON, OK 73507-3099
(580) 354-5000
Mailing address
1515 NE LAWRIE TATUM ROAD, LAWTON, OK 73507-3099
(580) 354-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85749
OK
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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