Individual
HOLLIE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 S 147TH EAST AVE, APT H, TULSA, OK 74134-4630
(918) 370-7153
Mailing address
3104 S 147TH EAST AVE, APT H, TULSA, OK 74134-4630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0050214
OK
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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