Individual
MARY R. BOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
2625 E 55TH PL, TULSA, OK 74105-7212
(918) 743-5510
Mailing address
2625 E 55TH PL, TULSA, OK 74105-7212
(918) 743-5510
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0074856
OK
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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