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1023562204
KATIE WAGNER
TULSA, OK
NPI
1023562204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 99680)
Enumeration Date
2016-08-05
Last Update Date
2021-06-08
Business Address
KATIE WAGNER APRN
6130 E 81ST ST
TULSA, OK 74137-2101
Phone number: 918-401-1002
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Mailing Address
KATIE WAGNER APRN
6130 E 81ST ST
TULSA, OK 74137-2101
Phone number: 918-401-1002
Copy
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