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Individual

MISS MILDRED AKUA TWUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4299
Mailing address
413 SW 170TH TER, OKLAHOMA CITY, OK 73170-6678
(405) 473-5844

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
86514
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
86514
OK

Other

Enumeration date
01/08/2016
Last updated
01/08/2016
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