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Individual

CYNTHIA ALEXANDER'GROOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 382-7300
(918) 382-7302
Mailing address
109 W MILL AVE, SAPULPA, OK 74066-5517
(918) 581-5928

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R59938013
BLUE CROSS AND BLUE SHIELD
OK
Enumeration date
12/12/2016
Last updated
12/12/2016
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