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Individual

MRS. CRYSTAL JEAN ONEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
10337 PAISLEY RD, YUKON, OK 73099-7859
(405) 408-9753
Mailing address
10337 PAISLEY RD, YUKON, OK 73099-7859

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
97660
OK
363LG0600X
Gerontology Nurse Practitioner
97660
OK
363LP2300X
Primary Care Nurse Practitioner
00097660
OK

Other

Enumeration date
10/30/2018
Last updated
01/11/2022
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