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Individual

AJITH OOMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN CNP

Contact information

Practice address
711 STANTON L YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104-5022
(405) 271-6434
(405) 271-6264
Mailing address
18228 SUNNY STONE LN, EDMOND, OK 73012-2809
(405) 596-2601

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222898
OK

Other

Enumeration date
12/18/2024
Last updated
12/03/2025
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