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Individual

MS. NINA LOU HALLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
433 SOUTH 9TH STREET, JAY, OK 74346
(918) 253-4511
(918) 253-8419
Mailing address
9935 STATE HIGHWAY 28, EUCHA, OK 74342-4033
(918) 253-3479

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
0046086
OK

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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