Individual
MS. GEORGIA JEAN PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6811 E 56TH ST, TULSA, OK 74145-8510
(918) 494-6806
Mailing address
6811 E 56TH ST, TULSA, OK 74145-8510
(918) 500-9113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
J100004580
OK
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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