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Organization

AYANA MEDICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYNE BANGURAH CNP (FAMILY NURSE PRACTITIONER)
(405) 445-9555
Entity
Organization

Contact information

Practice address
600 N WALKER AVE STE 103, OKLAHOMA CITY, OK 73102-3035
(405) 445-9555
(866) 728-2564
Mailing address
600 N WALKER AVE STE 103, OKLAHOMA CITY, OK 73102-3035
(866) 728-2564

Taxonomy

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

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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