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Individual

VALERIE SUZANNE KAUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
212 W SPAULDING ST, CHECOTAH, OK 74426-2452
(918) 473-0048
(918) 473-4547
Mailing address
1505 E MAIN ST, STIGLER, OK 74462-2913
(918) 967-3368
(918) 967-4582

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81153
OK

Other

Enumeration date
08/22/2016
Last updated
11/02/2016
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