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KIMBER MARIE SANDERSON REGISTERED NURSE

Gerontology >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1710519004

Individual Registrant:
 KIMBER MARIE SANDERSON REGISTERED NURSE
Gender: F
Not Sole Proprietor

Location and contact information for practice:
300 WEST 9TH STREET  WELEETKA, OK 74880 US
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

Registration Information:
NPI: 1710519004
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WG0600XNursing Service Providers
Registered Nurse
Gerontology
OKR0111358

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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