Individual
DIMBLE KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
501 NW 160TH ST, EDMOND, OK 73013-1023
(405) 326-6300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209853
OK
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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