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Individual

KSENIYA LUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3100 SW 89TH ST, OKLAHOMA CITY, OK 73159-7900
(405) 602-8100
Mailing address
1940 S WOODLAWN BLVD APT 203, WICHITA, KS 67218-4747
(617) 970-0519

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
205319
OK

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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