Individual
ALICE JEAN BEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7718 S HUDSON AVE, TULSA, OK 74136-8427
(918) 698-1761
(918) 663-0203
Mailing address
7718 S HUDSON AVE, TULSA, OK 74136-8427
(918) 698-1761
(918) 663-0203
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
10/18/2013
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