Individual
VINAY VASANTPURI SWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST # SR, TULSA, OK 74107-1886
(405) 595-9265
Mailing address
601 NW 143RD ST, EDMOND, OK 73013-1925
(405) 595-9265
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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