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1174303929
PAWANA ITANI
YUKON, OK
NPI
1174303929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OK 220127)
Enumeration Date
2023-09-29
Last Update Date
2024-09-05
Business Address
PAWANA ITANI DNP
520 S MUSTANG RD
YUKON, OK 73099-6737
Phone number: 405-936-5910
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Mailing Address
PAWANA ITANI DNP
4325 NW 155TH PL
EDMOND, OK 73013-9158
Phone number: 918-740-7011
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