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Individual

LINDA DRINK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6202 S. LEWIS, STE H, TULSA, OK 74136
(918) 949-4086
Mailing address
782 N 24TH WEST AVE, TULSA, OK 74127-5205
(918) 629-0547

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200287120A
OK
Enumeration date
01/25/2013
Last updated
01/25/2013
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