Individual
NIKKE SOGUNRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 RIDGLEA CT., DEL CITY, OK 73115
(405) 921-0965
Mailing address
3517 RIDGLEA CT, DEL CITY, OK 73115-1831
(405) 921-0965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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