Individual
JO LYN HARDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E 5TH PL, TULSA, OK 74104-2905
(918) 833-9900
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
07/26/2021
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