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Individual

SHANTY VARUGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
800 NE 10TH ST STE 2100, OKLAHOMA CITY, OK 73104
(405) 271-8707
(405) 271-2976
Mailing address
800 NE 10TH ST STE 5050, OKLAHOMA CITY, OK 73104-5418
(405) 271-7770
(405) 271-1006

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
R0072132
OK
363L00000X
Nurse Practitioner
Primary
72132
OK

Other

Enumeration date
06/21/2017
Last updated
08/27/2018
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