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Individual

CHRIS N. M. MUMFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN-CNS

Contact information

Practice address
3903 S DETROIT AVE, TULSA, OK 74105-3039
(405) 627-5133
Mailing address
3903 S DETROIT AVE, TULSA, OK 74105-3039
(405) 627-5133

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214516
OK
364SG0600X
Gerontology Clinical Nurse Specialist
214516
OK

Other

Enumeration date
09/12/2023
Last updated
02/13/2025
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