Individual
MS. DAWN NICOLE FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2544 N BOSTON AVE, TULSA, OK 74106-3609
(918) 706-6559
Mailing address
2544 N BOSTON AVE, TULSA, OK 74106-3609
(918) 706-6559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
02/04/2013
Last updated
06/24/2013
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