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Individual

STEPHANIE L VANHOOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3433 NW 56TH ST STE 760, OKLAHOMA CITY, OK 73112-4461
(405) 951-4345
(405) 951-4392
Mailing address
3433 NW 56TH ST STE 760, OKLAHOMA CITY, OK 73112-4461
(405) 951-4345
(405) 951-4392

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
67066
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
67066
OK LICENSE NUMBER
OK
Enumeration date
03/19/2019
Last updated
03/19/2019
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