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Individual

MRS. SUZANNE KAY RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
30146 PINE RIDGE RD, POTEAU, OK 74953-7864
(918) 647-4243
Mailing address
30146 PINE RIDGE RD, POTEAU, OK 74953-7864
(918) 647-4243

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A03358 ANP
AR
363LF0000X
Family Nurse Practitioner
Primary
R63991
OK

Other

Enumeration date
03/05/2008
Last updated
10/03/2016
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