Individual
KALLIE DANIELLE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10505 E 91ST ST, TULSA, OK 74133-5801
(918) 307-5490
(918) 779-3247
Mailing address
20900 S OQECHE, CLAREMORE, OK 74019-1005
(918) 638-5511
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
104112
OK
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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