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Individual

MS. GEMARUBY OLIVARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10214 E 44TH ST # 32, TULSA, OK 74146-3709
(918) 845-6092
Mailing address
10214 E 44TH ST # 32, TULSA, OK 74146-3709
(918) 845-6092

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OK

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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