Individual
NICHOLE NGUETSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 EAGLE LOOP RD, DURANT, OK 74701-8128
(580) 579-8865
Mailing address
254 EAGLE LOOP RD, DURANT, OK 74701-8128
(580) 380-3119
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/29/2023
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