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Individual

VERONICA M MANOILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
117143
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
R0117143
OK

Other

Enumeration date
10/20/2014
Last updated
09/07/2021
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