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Individual

CHRISTI LEA VICK

Active
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Individual

CHRISTI LEA VICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGNP-CNP

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
109643
OK
363LA2200X
Adult Health Nurse Practitioner
Primary
109643
OK

Other

Enumeration date
09/04/2019
Last updated
12/24/2019
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