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Individual

MRS. MANIMEHALAI VIJAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN ADVANCE PRACTICE

Contact information

Practice address
940 N.E. 13TH STREET, SUITE 3000, OKLAHOMA CITY, OK 73104-5008
(405) 271-7498
(405) 271-4328
Mailing address
940 NE 13TH ST STE 3000, OKLAHOMA CITY, OK 73104-5008
(405) 271-7498
(405) 271-4329

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
64359
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200281460A
OK
Enumeration date
12/17/2008
Last updated
10/04/2018
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