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Organization
LAURA'S TOTAL BODY SOLUTIONS SPA TULSA LLC
Active
Organization
LAURA'S TOTAL BODY SOLUTIONS SPA TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JEAN WIDNEY (PARTNER)
(918) 770-2271
Entity
Organization
Contact information
Practice address
7127 S YALE AVE, TULSA, OK 74136-6308
(918) 698-1866
Mailing address
29560 S PINE VALLEY DR, CATOOSA, OK 74015-6149
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
NULL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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