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Individual

WHITNEY DIANE LARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
(918) 712-0859
Mailing address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
(918) 712-0859

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117477
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43-1236557
OK
Enumeration date
04/18/2018
Last updated
04/18/2018
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