Individual
KIMBERLY ANNE MLADJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E WILL ROGERS BLVD, CLAREMORE, OK 74017-6352
(918) 342-3334
Mailing address
9410 S SANDUSKY AVE, TULSA, OK 74137-2326
(918) 724-9443
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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