Individual
CONSUELO JEAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 E 54TH ST N, TULSA, OK 74126-2741
(918) 955-4878
Mailing address
835 E 54TH ST N, TULSA, OK 74126-2741
(918) 955-4878
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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