Individual
MRS. AVERY ANN DUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(408) 833-2276
Mailing address
1111 W 17TH ST, TULSA, OK 74107-1886
(408) 833-2276
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/24/2022
Last updated
10/24/2022
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