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Individual

JAMES EDDIE LASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(918) 491-3700

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100841
OK

Other

Enumeration date
06/17/2014
Last updated
01/31/2017
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