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1013994458
TARA LINVILLE
TULSA, OK
NPI
1013994458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1108)
Enumeration Date
2005-12-28
Last Update Date
2018-05-14
Business Address
TARA LINVILLE PA-C
6565 S YALE AVE STE 1200
TULSA, OK 74136
Phone number: 918-502-3376
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Mailing Address
TARA LINVILLE PA-C
6600 S YALE AVE STE 1200
TULSA, OK 74136-3361
Phone number: 918-488-6045
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