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Misty Wigley
Student in an Organized Health Care Education/Training Program in Konawa, Oklahoma
NPI 1962782888

Misty Wigley is a Student in an Organized Health Care Education/Training Program based in Konawa, OK. Misty Wigley practices in Konawa, OK. The NPI Number for Misty Wigley is 1962782888 and holds a License No. (Oklahoma).

The current practice location address for Misty Wigley is 527 W 3Rd St, Konawa, OK and can be reached out via phone at 580-925-3286 and via fax at 580-925-9149.

Location: 527 W 3Rd St, Konawa, OK, 74849-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962782888
Provider Name
Misty Wigley
Credential
Provider Entity Type
Individual
Gender
Male
Address
527 W 3Rd St, Konawa, OK, 74849-1415
Phone Number
580-925-3286
Fax Number
580-925-9149
Provider Enumeration Date
08/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
527 W 3Rd St
City
Konawa
State
Oklahoma
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-9149
person
Provider Business Mailing Address Details
Address
527 W 3Rd St
City
Konawa
State
Oklahoma
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-9149
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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