Individual
GRACE KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(573) 645-2875
Mailing address
820 E MONTCLAIR ST APT 528, SPRINGFIELD, MO 65807-7516
(573) 645-2875
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/07/2025
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