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Individual

TAMARA L MADJID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
10505 E 91ST ST, SUITE 203, TULSA, OK 74133-5801
(918) 382-5399
(918) 382-5704
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0078685
OK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0078685
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200218440A
OK
01
78685
STATE LICENSE
OK
Enumeration date
10/28/2008
Last updated
12/18/2012
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