Provider Information for 1760937221
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CONSTANCE SILI AKONUMBO Student Counselor
Sex: Female
NPI: 1760937221
Last Updated: 2024-08-05
Certification Date: 2024-08-05
Certification Date: 2024-08-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760937221 | ||||||||
| Enumeration Date | 2016-08-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2614 N MERIDIAN AVE APT. 215 OKLAHOMA CITY, OK 73107-1001 United States Phone: 405-408-1244 | Fax: | ||||||||
| Primary Practice Address | 2614 N MERIDIAN AVE APT. 215 OKLAHOMA CITY, OK 73107-1001 United States Phone: 405-408-1244 | Fax: | ||||||||
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