Individual
CRYSTAL SPONAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11904 CORN FLOWER PL, OKLAHOMA CITY, OK 73120-8126
(405) 315-4347
Mailing address
11904 CORN FLOWER PL, OKLAHOMA CITY, OK 73120-8126
(405) 315-4347
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R0136829
OK
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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