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Individual

MRS. EMMA DAWN BONHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 250-7093
Mailing address
8144 S 107TH EAST AVE # 17A, TULSA, OK 74133-8309

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF742
OK

Other

Enumeration date
10/21/2024
Last updated
10/21/2024
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