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Individual
DR. HEATHER ROSS TIPSWORD
Active
Individual
DR. HEATHER ROSS TIPSWORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3988
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114030A
—
OK
Enumeration date
07/11/2005
Last updated
10/03/2011
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