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Organization
NW DIAGNOSTIC AUDIOLOGY LLC
Active
Organization
NW DIAGNOSTIC AUDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY L ROBERTS MSCCCA (OWNER)
(580) 233-4129
Entity
Organization
Contact information
Practice address
3201 N VAN BUREN, SUITE 200, ENID, OK 73703
(580) 233-4129
(580) 233-4130
Mailing address
3201 N VAN BUREN, SUITE 200, ENID, OK 73703
(580) 233-4129
(580) 233-4130
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
219
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006682200
—
OK
Enumeration date
12/12/2006
Last updated
04/20/2008
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