Organization
FAITH MISSION IGC INC
Active
Other names
Faith Mission IGC Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE EDOBOR APRN-CNP (AUTHORIZED OFFICIAL)
(918) 639-3148
Entity
Organization
Contact information
Practice address
3210 S NORWOOD AVE STE A, TULSA, OK 74135-5463
(918) 932-8480
Mailing address
3210 S NORWOOD AVE STE A, TULSA, OK 74135-5463
(918) 932-8480
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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