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1609207166
KHRYSTAL KAY HUMBLE
PONCA CITY, OK
NPI
1609207166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: OK 157768)
Enumeration Date
2013-12-10
Last Update Date
2013-12-10
Business Address
-- KHRYSTAL KAY HUMBLE BA
508 E FRESNO AVE
PONCA CITY, OK 74601-2817
Phone number: 580-767-9035
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Mailing Address
-- KHRYSTAL KAY HUMBLE BA
508 E FRESNO AVE
PONCA CITY, OK 74601-2817
Phone number: 580-767-9035
Copy