Individual
DEDRA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 S 79TH EAST AVE STE 100, TULSA, OK 74145-3252
(918) 203-4984
Mailing address
3803 S 79TH EAST AVE STE 100, TULSA, OK 74145-3252
(918) 203-4984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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