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Individual

COREY DEAN TROTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 382-1285
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 382-1285

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
211390
OK

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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