Individual
OMARE OGISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
9404 E MARSHALL ST, TULSA, OK 74115-5954
(918) 633-2867
Mailing address
9404 E MARSHALL ST, TULSA, OK 74115-5954
(918) 633-2867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
N/A
OK
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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