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Individual

TETYANA VOLODYMYRIVNA KLIMENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8803 SOUTH 101ST EAST AVENUE, SUITE 255, TULSA, OK 74133-5760
(918) 294-6840
(918) 298-6839
Mailing address
8803 S 101ST EAST AVE, STE 255, TULSA, OK 74133-5760
(918) 294-6840
(918) 298-6839

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
86371
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200481450A
OK
Enumeration date
03/23/2013
Last updated
05/03/2014
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