Individual
CONNER NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 BOREN BLVD, SEMINOLE, OK 74868-2050
(053) 824-5074
(405) 382-5269
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 319-7305
(580) 319-7328
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
01/21/2025
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