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Individual

MELISSA RAE GERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
(918) 619-4696
Mailing address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
(918) 619-4696

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
7402
OK

Other

Enumeration date
04/21/2020
Last updated
08/09/2021
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