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Organization

CAROL A. HANSON, D.O., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROL A. HANSON D.O. (REGISTERED AGENT)
(918) 492-6611
Entity
Organization

Contact information

Practice address
2526 E 71ST ST, SUITE H, TULSA, OK 74136-5538
(918) 492-6611
Mailing address
8086 S YALE AVE, PM BOX 241, TULSA, OK 74136-9003
(918) 492-6611

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2618
OK

Other

Enumeration date
01/27/2009
Last updated
01/27/2009
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