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Individual

STACI HAWKINS-PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1411 W 12TH AVE STE E, STILLWATER, OK 74074-5482
(405) 338-7707
(405) 533-3132
Mailing address
51 LANDMARK CIR, LAWTON, OK 73507-9008
(580) 351-7538

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
905334
TX
363LF0000X
Family Nurse Practitioner
Primary
99437
OK

Other

Enumeration date
08/04/2016
Last updated
04/23/2024
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