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Individual

GEORGE DELONIA JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1523 E 52ND ST N, TULSA, OK 74126-2818
(918) 269-0163
Mailing address
1523 E 52ND ST N, TULSA, OK 74126-2818

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/08/2016
Last updated
01/08/2016
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  • EDI platform