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Krista Nicole Havener

Specialist in El Reno, OK. Individual provider (NPI-1).

NPI number1760670293
StatusActive
Last updated in NPPESOct 10, 2007

Details

NPI
1760670293
Entity type
Individual (NPI-1)
Name
Miss Krista Nicole Havener
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 10, 2007
Last updated
Oct 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

200 N Choctaw
Suite 140
El Reno, OK 73036-2624

Phone 405-262-3209 · Fax 405-262-1331

Mailing address

200 N Choctaw Ave
Suite 140
El Reno, OK 73036-2624

Phone 405-262-3203 · Fax 405-262-1331

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