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Organization
ST JOHN HEALTH SYSTEM
Active
Organization
ST JOHN HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLEY MICHELLE FROST MS RD LD CDE (DIABETES EDUCATOR)
(918) 744-2449
Entity
Organization
Contact information
Practice address
1717B S UTICA AVE, SUITE 205, TULSA, OK 74104-5333
(918) 744-2995
Mailing address
1717B S UTICA AVE, SUITE 205, TULSA, OK 74104-5333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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