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Individual

KERSTIN INGER WEST-WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNC, IBCLC

Contact information

Practice address
2409 W TWIN OAKS ST, BROKEN ARROW, OK 74011-1453
(918) 494-6455
(918) 494-7390
Mailing address
2409 W TWIN OAKS ST, BROKEN ARROW, OK 74011-1453
(918) 494-6455
(918) 494-7390

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
197-14363
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197-14363
IBCLC
OK
Enumeration date
06/19/2008
Last updated
06/19/2008
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