JUDY BANNER

OKLAHOMA CITY, OK
NPI1891043725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OK  R62457)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
-- JUDY BANNER APRN
3330 NW 56TH ST SUITE 400
OKLAHOMA CITY, OK 73112-4479
Phone number: 405-945-4220
Mailing Address
-- JUDY BANNER APRN
1400 REDBUD HOLW
EDMOND, OK 73034-9714
Phone number: 405-562-0213
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