Individual
KIMBERLY VANDYGRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 EAST DAVIS AVENUE, SAPULPA, OK 74066
(918) 951-8415
Mailing address
1115 EAST DAVIS AVENUE, SAPULPA, OK 74066
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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