Individual
KYLE JAMES OZAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3939
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201298
OK
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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