Individual
MAKAYLA CLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
514 S WORTMAN AVE, CLAREMORE, OK 74017-5331
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202022
OK
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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