KATIE WAGNER

TULSA, OK
NPI1023562204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  99680)
Enumeration Date2016-08-05
Last Update Date2021-06-08
Business Address
KATIE WAGNER APRN
6130 E 81ST ST
TULSA, OK 74137-2101
Phone number: 918-401-1002
Mailing Address
KATIE WAGNER APRN
6130 E 81ST ST
TULSA, OK 74137-2101
Phone number: 918-401-1002
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