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Individual

JENETTE LOUISE NICEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5805 NW 116TH ST, OKLAHOMA CITY, OK 73162-2038
(405) 315-1709
Mailing address
5805 NW 116TH ST, OKLAHOMA CITY, OK 73162-2038
(405) 315-1709

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10132
OK

Other

Enumeration date
11/07/2013
Last updated
12/08/2019
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