Individual
MAI LEE VANGSENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6441
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6441
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
R0102695
OK
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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