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Individual

PAULA KRISTINE VINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN,RNC-OB,IBCLC,RLC

Contact information

Practice address
4801 INTEGRIS PKWY, EDMOND, OK 73034-8864
(405) 657-3250
(405) 471-0017
Mailing address
11541 HAMPTON DR, MIDWEST CITY, OK 73130-8218
(405) 761-1644

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
90483
OK
174400000X
Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200212650A
OK
Enumeration date
12/06/2007
Last updated
02/01/2023
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