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1033704168
DERRICK LUGANO
TULSA, OK
NPI
1033704168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OK 201450)
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
DERRICK LUGANO
10505 E 91ST ST STE 205
TULSA, OK 74133-5829
Phone number: 918-307-5490
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Mailing Address
DERRICK LUGANO
10505 E 91ST ST STE 205
TULSA, OK 74133-5829
Phone number: 918-307-5490
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