Individual
MRS. SANDRA PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0042959
OK
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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