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Individual

HELEN EPONG MBOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1924 N. PORTLAND AVE, OKLAHOMA, OK 73107
(405) 949-1552
(405) 949-1570
Mailing address
1924 N. PORTLAND AVE., OKLAHOMA CITY, OK 73142-2524
(405) 949-1552

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0083300
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R0083300
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
10/30/2009
Last updated
11/22/2011
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