Individual
REBECCA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7302 S YALE AVE, TULSA, OK 74136-7027
(918) 712-4301
(855) 855-4102
Mailing address
10512 N 110TH EAST AVE, #100, OWASSO, OK 74055-6636
(918) 272-6333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
63489
OK
Other
Enumeration date
07/26/2011
Last updated
06/18/2019
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