Individual
CORAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12315 E 39TH ST, TULSA, OK 74146-3306
(918) 629-9211
Mailing address
12315 E 39TH ST, TULSA, OK 74146-3306
(918) 629-9211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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