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Individual

MRS. SABRA JADE SEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
10501 E 91ST ST, TULSA, OK 74133-5790
(918) 307-6000
Mailing address
1102 N HICKORY AVE, BROKEN ARROW, OK 74012-1668
(316) 641-0723

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/23/2015
Last updated
12/23/2015
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