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Individual

KARLAND KIGNON DEVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 E APACHE ST, TULSA, OK 74106-3702
(918) 794-0197
Mailing address
304 S 119TH EAST AVE, TULSA, OK 74128-2233
(918) 760-8026

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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