Individual
GRACE EDOBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 S TRENTON AVE, TULSA, OK 74136-7306
(918) 639-3148
Mailing address
7525 S TRENTON AVE, TULSA, OK 74136-7306
(918) 639-3148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04190249
OK
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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