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Individual

THERESA MARIE YORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4900
Mailing address
1610 N COLLEGE AVE, TULSA, OK 74110-2702
(918) 841-8611

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
186897
OK

Other

Enumeration date
09/12/2023
Last updated
10/02/2023
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