Individual
ALVIN VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11428 E 20TH ST STE A, TULSA, OK 74128-6452
(918) 878-7877
(918) 878-7882
Mailing address
11428 E 20TH ST STE A, TULSA, OK 74128-6452
(918) 878-7877
(918) 878-7882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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