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1033975784
TINA DIANE GERWIN
ARDMORE, OK
NPI
1033975784
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Former Name
TINA DIANE DORRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OK 216494)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
MRS. TINA DIANE GERWIN NP-C
1570 PROVENCE RD
ARDMORE, OK 73401-0401
Phone number: 580-220-4427
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Mailing Address
MRS. TINA DIANE GERWIN NP-C
1570 PROVENCE RD
ARDMORE, OK 73401-0401
Phone number: 580-220-4427
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