Provider Information for 1619390317
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SARAH WEST
Sex: Female
NPI: 1619390317
Last Updated: 2024-03-27
Certification Date: 2024-03-27
Certification Date: 2024-03-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619390317 | ||||||||
| Enumeration Date | 2014-01-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3015 E SKELLY DR SUITE 103 TULSA, OK 74105-6317 United States Phone: 918-712-0859 | Fax:918-388-9708 | ||||||||
| Primary Practice Address | 3015 E SKELLY DR SUITE 103 TULSA, OK 74105-6317 United States Phone: 918-712-0859 | Fax:918-388-9708 | ||||||||
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