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Individual

TERRA CORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 QUAIL SPRINGS PKWY STE 200, OKLAHOMA CITY, OK 73134-2699
(405) 241-3791
(405) 241-0998
Mailing address
3200 QUAIL SPRINGS PKWY STE 200, OKLAHOMA CITY, OK 73134-2699
(405) 241-3791
(405) 241-0998

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
200970
OK

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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