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Individual

CONNIE L. ZIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 321-4048
(405) 360-0922
Mailing address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 321-4048
(405) 360-0922

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0024946
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700249
OK
Enumeration date
05/16/2007
Last updated
07/08/2007
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