Individual
MICHELE DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 582-2131
(918) 588-8822
Mailing address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 582-2131
(918) 588-8822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38862
OK
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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