Individual
BANSI DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10008 SW 36TH ST, YUKON, OK 73099-0421
(405) 410-8348
(405) 324-2304
Mailing address
825 NE 10TH ST, OUPB 4300, OKLAHOMA CITY, OK 73104-5417
(405) 271-6842
(405) 271-5803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
60652
OK
Other
Enumeration date
05/09/2014
Last updated
05/12/2014
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