MAKEDA GANT

BROKEN ARROW, OK
NPI1003201039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  116446)
Enumeration Date2015-04-06
Last Update Date2016-12-28
Business Address
-- MAKEDA GANT
1129 S ASPEN AVE
BROKEN ARROW, OK 74012-4859
Phone number: 918-764-9300
Mailing Address
-- MAKEDA GANT
13600 E 86TH ST N STE 100
OWASSO, OK 74055-8732
Phone number: 918-272-9313
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