Individual
OBIAGERI E ONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
1330 N CLASSEN BLVD STE 214, OKLAHOMA CITY, OK 73106-6834
(405) 601-6710
Mailing address
11440 WALTERS AVE, OKLAHOMA CITY, OK 73162-1315
(405) 728-0525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
0096537
OK
Other
Enumeration date
08/30/2012
Last updated
02/08/2018
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