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Search › Oklahoma › 171M00000X

Miracle Enninga

NPI 1649045048 · on the registry since 2023

Practice

Address
407 W South Ave
Ponca City, OK 74601
Phone
(580) 749-5056
Organisation at this address
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2023-11-16

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