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Individual

JULIA RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 525-6191
Mailing address
11226 BLUE SAGE ROAD, OKLAHOMA CITY, OK 73120
(405) 535-5032

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/21/2025
Last updated
03/21/2025
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