Individual
BETHANY IRENE WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL STUDENT
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(539) 215-0858
Mailing address
6809 S 93RD EAST AVE, TULSA, OK 74133-2224
(539) 215-0858
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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