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1427786573
KANDYCE THREATT
OKLAHOMA CITY, OK
NPI
1427786573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0068342)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
KANDYCE THREATT
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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Mailing Address
KANDYCE THREATT
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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