ALISA TARASOVA

CHICKASHA, OK
NPI1043782634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  R0120108)
Enumeration Date2018-12-20
Last Update Date2019-11-21
Business Address
ALISA TARASOVA FNP
304 S 29TH ST
CHICKASHA, OK 73018-2501
Phone number: 058-968-0584
Mailing Address
ALISA TARASOVA FNP
PO BOX 929
CHICKASHA, OK 73023-0929
Phone number: 405-896-8058
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