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Individual

CHARLA BRIDGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
3811 W GORE BLVD STE 10, LAWTON, OK 73505-6328
(580) 510-7076
(580) 510-7081
Mailing address
RR 3 BOX 155, WALTERS, OK 73572-9530
(580) 483-7261

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0080885
OK
363LF0000X
Family Nurse Practitioner
Primary
212001
OK

Other

Enumeration date
01/20/2016
Last updated
09/16/2024
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