Individual
AESIA JADE QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5912 US-70, SILO, OK 74701
(580) 745-9083
(620) 515-1839
Mailing address
5916 WILSON ST UNIT 18, DURANT, OK 74701-7819
(620) 515-1839
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219111
OK
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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