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Individual

CHANDA RAYE VLANICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CRNA

Contact information

Practice address
1923 S UTICA AVE, BOX 217, TULSA, OK 74104-6520
(918) 744-3664
(918) 748-7688
Mailing address
1923 S UTICA AVE, BOX 217, TULSA, OK 74104-6520
(918) 744-3664
(918) 748-7688

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76462
OK

Other

Enumeration date
02/13/2013
Last updated
02/27/2014
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