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Individual

ERNEST KAARA MAINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
1103 W CHEROKEE ST, WAGONER, OK 74467-4621
(918) 509-4440
(918) 509-4467
Mailing address
1103 W CHEROKEE ST, WAGONER, OK 74467-4621
(918) 509-4440
(918) 509-4467

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0114784
OK

Other

Enumeration date
12/07/2018
Last updated
07/07/2023
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