Individual
MS. NANCY P. VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,C.C.C.
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-0204
Mailing address
1914 MEADOWBROOK ST, PONCA CITY, OK 74604-3011
(580) 765-4875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
425
OK
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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