Individual
MRS. DAVINA ELIZABETH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 E SKELLY DR, SUITE 102, TULSA, OK 74105-6358
(918) 749-6095
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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