Individual
MRS. STEPHANIE ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 W BRECKENRIDGE AVE, SALLISAW, OK 74955-7611
(918) 775-3122
Mailing address
2020 W BRECKENRIDGE AVE, SALLISAW, OK 74955-7611
(918) 775-3122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96074
OK
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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