Provider Information for 1053637512
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Mrs. LINDSEY SANDERS
Sex: Female
NPI: 1053637512
Last Updated: 2010-04-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1053637512 | ||||||||
| Enumeration Date | 2010-04-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 14625 NE 23RD ST PO BOX 695 CHOCTAW, OK 73020-8728 United States Phone: 405-390-8131 | Fax: | ||||||||
| Primary Practice Address | 14625 NE 23RD ST CHOCTAW, OK 73020-8728 United States Phone: 405-390-8131 | Fax: | ||||||||
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