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KIMBER MARIE SANDERSON REGISTERED NURSE
Gerontology >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1710519004
Individual Registrant: KIMBER MARIE SANDERSON REGISTERED NURSE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
300 WEST 9TH STREET WELEETKA, OK 74880 US
Tel: 405-786-2244 Fax: --
Tel: 405-786-2244 Fax: --
Contact information for business:
PO BOX 703 WELEETKA, OK 74880-0703 US
Tel: 405-584-1071 Fax: 405-786-2589
Tel: 405-584-1071 Fax: 405-786-2589
Registration Information:
NPI: 1710519004
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WG0600X | Nursing Service Providers Registered Nurse Gerontology | OK | R0111358 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
