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Individual

JUDY WAKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1923 S. DIVISION, GUTHRIE, OK 73044
(405) 282-1830
(405) 282-1861
Mailing address
1222 10TH ST STE 211, WOODWARD, OK 73801-3156
(405) 282-1830
(405) 282-1861

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0032539
OK

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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