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Individual

SHARON THACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
17599 S HIGHWAY 88, CLAREMORE, OK 74017-0801
(918) 342-0770
(918) 341-4245
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 273-1841
(918) 273-1843

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
45442
OK

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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