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Individual

KIMBERLY SUE GILLISPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
7721 N 202ND E. AVE., OWASSO, OK 74055
(918) 916-3883

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219196
OK

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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