Individual
MACY CHABINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 E 87TH ST, TULSA, OK 74137-2522
(918) 231-5460
Mailing address
3108 E 87TH ST, TULSA OK, OK 74137-2522
(918) 231-5460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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