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Individual

MISS CYNTHIA NANETT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
551 SE 4TH ST, MOORE, OK 73160-6790
(405) 703-9321
(405) 759-7004
Mailing address
PO BOX 268953, OKLAHOMA CITY, OK 73126-8953
(405) 310-2715
(405) 463-5732

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10750506
OK
363LF0000X
Family Nurse Practitioner
Primary
200219
OK

Other

Enumeration date
11/03/2020
Last updated
12/12/2023
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