Individual
STACEY SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
Mailing address
PO BOX 308, APACHE, OK 73006-0308
(580) 917-9193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131296
OK
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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