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Individual

TEXANNA JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6202 S LEWIS AVE, STE H, TULSA, OK 74136-1099
(918) 949-4086
(918) 949-3638
Mailing address
822 N OKMULGEE AVE, OKMULGEE, OK 74447-2612
(918) 951-9422

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200287120A
OK
Enumeration date
03/25/2013
Last updated
03/25/2013
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