Individual
MISS CHALIQUE LASHEA SANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6466
Mailing address
1229 BELLEVIDERE DR, OKLAHOMA CITY, OK 73117-5003
(405) 427-3516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0048230
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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