Individual
MRS. EVA MARIE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
Mailing address
3218 S 211TH EAST AVE, BROKEN ARROW, OK 74014-5141
(918) 730-0501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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