Individual
JANNETTE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
323 W 6TH ST, OKMULGEE, OK 74447-5019
(918) 756-9250
(918) 652-4247
Mailing address
323 W 6TH ST, OKMULGEE, OK 74447-5019
(918) 756-9250
(918) 652-4247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
OO55652
OK
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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