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Individual

TAIMEZHAKI PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
84945
OK

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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