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1477335982
LOGAN KRIVANEK
OKLAHOMA CITY, OK
NPI
1477335982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
LOGAN KRIVANEK
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104-4637
Phone number: 405-271-5437
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Mailing Address
LOGAN KRIVANEK
1200 EVERETT DR STE 8305
OKLAHOMA CITY, OK 73104-5047
Phone number:
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