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1225601479
CRISTI LEA LUIS
PONCA CITY, OK
NPI
1225601479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK R0078972)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
CRISTI LEA LUIS RN
2225 N UNION ST
PONCA CITY, OK 74601-1555
Phone number: 580-716-9064
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Mailing Address
CRISTI LEA LUIS RN
1205 BRENTWOOD DR
PONCA CITY, OK 74601-1714
Phone number:
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