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Individual

NICHOLAS E ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3311 E 30TH ST, TULSA, OK 74114-6107
(888) 332-1530
(918) 289-0657
Mailing address
3311 E 30TH ST, TULSA, OK 74114-6107
(888) 332-1530
(918) 289-0657

Taxonomy

Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
01/31/2017
Last updated
01/31/2017
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