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Individual

AMELIA RUTH HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APRN

Contact information

Practice address
1325 E 15TH ST STE 205, TULSA, OK 74120-5851
(918) 300-4939
Mailing address
414 YORKTOWN ST, WAGONER, OK 74467-3554
(918) 513-2306

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205331
OK

Other

Enumeration date
01/24/2021
Last updated
04/30/2023
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