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Individual

KRISTY HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 MEDICAL PKWY, CLAREMORE, OK 74017-1082
(918) 232-5967
Mailing address
62027 E 278 RD, GROVE, OK 74344-7572
(918) 695-0039

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0118442
OK

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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