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Individual

ANNY LOU MANDAPAT DUNHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1142 SW 104TH STREET, OKLAHOMA CITY, OK 73139
(405) 691-3100
(405) 691-3106
Mailing address
13310 N EASTERN AVE, OKLAHOMA CITY, OK 73131-1816
(405) 513-7333

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101037
OK

Other

Enumeration date
10/21/2019
Last updated
12/05/2022
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