Individual
KARL GRANT HARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6202 S LEWIS AVE STE H, TULSA, OK 74136-1064
(918) 949-4086
(918) 949-3638
Mailing address
11440 E 61ST PL, BROKEN ARROW, OK 74012-1225
(918) 859-6691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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