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Individual

MS. MALLORY ANN NITZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
6802 S OLYMPIA AVE STE 200, TULSA, OK 74132-1826
(918) 388-9090
(918) 388-9093
Mailing address
6802 S OLYMPIA AVE STE 200, TULSA, OK 74132-1826
(918) 388-9090
(918) 388-9093

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
344
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200099890A
OK
Enumeration date
01/11/2007
Last updated
12/23/2025
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