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Individual

TEYANA JOY HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1860 EAST 15TH, TULSA, OK 74104
(918) 949-4430
(918) 949-4431
Mailing address
1860 EAST 15TH ST., TULSA, OK 74104
(918) 949-4430
(918) 949-4431

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/06/2011
Last updated
12/06/2011
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