Individual
KATHLEEN FRANCES FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
4021 E 26TH ST, TULSA, OK 74114-4713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0121692
OK
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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