Individual
MRS. VICTORIA MANKUBURIGI MATE-KOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11816 NW 134TH ST, PIEDMONT, OK 73078-3004
(405) 474-6854
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 474-6854
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0095325
OK
Other
Enumeration date
11/15/2017
Last updated
05/10/2025
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