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Individual

MR. ORLANDO DONNELL DICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3330
Mailing address
1611 S UTICA AVE, BOX 217, TULSA, OK 74104-4909
(918) 744-3664
(918) 748-7688

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100034
OK

Other

Enumeration date
01/14/2015
Last updated
02/17/2015
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