Individual
DEBBIE LEIGH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 E 59TH ST # 2601, TULSA, OK 74105-7004
(918) 430-0975
Mailing address
2218 E 59TH ST APT 2601, TULSA, OK 74105-7047
(918) 361-8772
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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