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1134679996
EBONY WOLFE
OKLAHOMA CITY, OK
NPI
1134679996
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Former Name
EBONY C FRAZIER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OK 86473)
Enumeration Date
2016-10-05
Last Update Date
2016-10-12
Business Address
-- EBONY WOLFE NP-C
1301 SE 59TH ST
OKLAHOMA CITY, OK 73129-7307
Phone number: 405-632-9631
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Mailing Address
-- EBONY WOLFE NP-C
9105 NW 90TH CIR
YUKON, OK 73099-5564
Phone number: 917-805-0864
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