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Individual

MRS. KRISTINA RENE WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Mailing address
7360 S 288TH EAST AVE, BROKEN ARROW, OK 74014-5772

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OK

Other

Enumeration date
02/13/2026
Last updated
02/13/2026
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