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Individual

MRS. KRYSTAL BROOKE SPRINGFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CDCES

Contact information

Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4657
(580) 421-1228
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4657
(580) 421-1228

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0129790
OK
163WD0400X
Diabetes Educator Registered Nurse
Primary
R0129790
OK

Other

Enumeration date
05/28/2024
Last updated
05/14/2026
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