Individual
OLIVIA BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2626 E 21ST ST STE 6, TULSA, OK 74114-1719
(918) 984-5355
Mailing address
835 W 149TH PL S, GLENPOOL, OK 74033-4327
(918) 984-5355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0110326
OK
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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