Individual
GINA M ORSBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4752 S HARVARD AVE APT 86, TULSA, OK 74135-3054
(918) 720-4537
Mailing address
4752 S HARVARD AVE APT 86, TULSA, OK 74135-3054
(918) 720-4537
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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