Individual
TERESA N. BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
6804 S. CANTON AVE SUITE 110, TULSA, OK 74136
(918) 749-6400
(918) 388-3999
Mailing address
6804 S. CANTON AVE SUITE 110, TULSA, OK 74136
(918) 749-6400
(918) 388-3999
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
00F815
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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