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Individual

CAROL BRINSTER GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7731 E 91ST ST, TULSA, OK 74133-6022
(918) 940-7297
Mailing address
801 E VAN BUREN ST, BROKEN ARROW, OK 74011-7263
(918) 451-2661

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F7178001
OK

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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