Individual
RAGEN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135, TULSA, OK 74135
(800) 722-3611
Mailing address
10703 N GARNETT RD, OWASSO, OK 74055-9022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
221055
OK
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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