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1790482917
NICHOLAS NOVAK
TAHLEQUAH, OK
NPI
1790482917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 211723)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
NICHOLAS NOVAK CRNA
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-456-0641
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Mailing Address
NICHOLAS NOVAK CRNA
1224 E 29TH ST
TULSA, OK 74114-3907
Phone number: 918-713-1381
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