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1689020067
NISSY MATHEW
OKLAHOMA CITY, OK
NPI
1689020067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0096235)
Enumeration Date
2016-05-04
Last Update Date
2024-09-05
Business Address
NISSY MATHEW APRN
4000 W RENO AVE
OKLAHOMA CITY, OK 73107-6632
Phone number: 405-632-6688
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Mailing Address
NISSY MATHEW APRN
3000 N GRAND BLVD
OKLAHOMA CITY, OK 73107-1818
Phone number: 405-632-6688
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