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Individual

MRS. SUMA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
84249
OK

Other

Enumeration date
07/19/2018
Last updated
06/21/2019
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