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Individual

LESLIE OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1535 S MEMORIAL DR, SUITE 111, TULSA, OK 74112-7002
(918) 289-0550
Mailing address
1535 S MEMORIAL DR, SUITE 111, TULSA, OK 74112-7002
(918) 289-0550

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
OK

Other

Enumeration date
04/08/2014
Last updated
04/08/2014
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