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1235481771
KATHERYN NOEL VANDIVER
OKLAHOMA CITY, OK
NPI
1235481771
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Former Name
KATHERYN NOEL KENEMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 88767)
Enumeration Date
2012-10-08
Last Update Date
2021-06-30
Business Address
KATHERYN NOEL VANDIVER APRN
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170-3437
Phone number: 405-691-1041
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Mailing Address
KATHERYN NOEL VANDIVER APRN
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170-3437
Phone number: 405-691-1041
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