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Individual

MRS. JAN DODSON WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC/SLP

Contact information

Practice address
6006 S ATLANTA PL, TULSA, OK 74105-7521
(918) 697-7318
Mailing address
6006 S ATLANTA PL, TULSA, OK 74105-7521
(918) 697-7318

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
386
OK
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/31/2009
Last updated
08/31/2009
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