Individual
NICOLE DINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 S MAIN ST STE A, GROVE, OK 74344-5368
(918) 557-4496
Mailing address
103 W 11TH ST, GROVE, OK 74344-2909
(918) 640-9405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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