Individual
NANCY LANETTE CAVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPP LIFE COACH
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6094
(580) 220-6214
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6094
(580) 220-6214
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
0033806
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386741635
—
OK
Enumeration date
12/11/2018
Last updated
12/11/2018
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