Individual
ALEXIS LABOUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 S LEWIS AVE STE 102, TULSA, OK 74136-1075
(918) 960-7852
Mailing address
1213 W BIRMINGHAM ST, BROKEN ARROW, OK 74011-3040
(918) 607-8037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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