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Individual

COREY MARK HEMBREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
15128 E 108TH PL N, OWASSO, OK 74055-8197
(405) 886-2643

Taxonomy

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

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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