Individual
DEBBIE MCCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S QUEBEC AVE, TULSA, OK 74112-2710
(918) 633-0325
Mailing address
428 S QUEBEC AVE, TULSA, OK 74112-2710
(918) 633-0325
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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