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1023475688
MELISSA HOGAN
TULSA, OK
NPI
1023475688
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Former Name
MELISSA HERRON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2615)
Enumeration Date
2016-01-26
Last Update Date
2018-02-21
Business Address
MELISSA HOGAN PA
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
MELISSA HOGAN PA
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number:
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