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1013451939
CLINTON ALSUP
TULSA, OK
NPI
1013451939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 117129)
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
-- CLINTON ALSUP
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 800-939-7440
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Mailing Address
-- CLINTON ALSUP
10937 S ELGIN AVE
JENKS, OK 74037-2643
Phone number:
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