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Individual

ALICIA TOMLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
717 S. HOUSTON AVE., 3RD FLOOR, TULSA, OK 74127-9006

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OK

Other

Enumeration date
03/23/2020
Last updated
03/25/2020
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