Individual
LAURIE JO WASSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 SW PENN, BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Mailing address
700 SW PENN, BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96719
OK
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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