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Individual

PATEISHA ROYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
7813 E. INDEPENDENCE ST., TULSA, OK 74115
(918) 777-6467
Mailing address
7813 E INDEPENDENCE ST, TULSA, OK 74115-6917
(918) 777-6467

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Enumeration date
06/08/2017
Last updated
09/11/2025
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