KRISTA NISSEN

BROKEN ARROW, OK
NPI1528678638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  5377)
Enumeration Date2020-08-04
Last Update Date2020-08-04
Business Address
KRISTA NISSEN
2552 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-893-3735
Mailing Address
KRISTA NISSEN
2552 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-893-3735
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