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Fnu Mantan Tangham Epse Fomune

NPI 1821529397 · on the registry since 2017

Practice

Address
10009 Senate Dr
Oklahoma City, OK 73162
Phone
(405) 410-8766

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma