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Individual

MAKOURA TOTSIE LASSINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6111 E SKELLY DR, TULSA, OK 74135-6100
(844) 458-2100
Mailing address
164184 N 4410 RD, TUSKAHOMA, OK 74574-5960

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
222950
OK

Other

Enumeration date
01/27/2026
Last updated
01/27/2026
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