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Doctors / OK
NURSE PRACTITIONER
Graduated: 2021
NPI: 1972272490
14355 W CRESCENT DOVER RD
CRESCENT, OK 730283311
4056505561
ICARE CENTER LLC
21001 SE 29TH ST
HARRAH, OK 730456591
4053915526
Source: CMS National Downloadable File, September 2026.