Individual
MRS. ELIZABETH CHARLENE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDT
Contact information
Practice address
5903 E 35TH ST, TULSA, OK 74135-5305
(918) 798-5487
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 798-5487
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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