CHARLES BLAGOVICH

TULSA, OK
NPI1053763334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  121198)
Enumeration Date2016-07-11
Last Update Date2016-07-11
Business Address
-- CHARLES BLAGOVICH
6600 S YALE AVE
TULSA, OK 74136-3347
Phone number: 740-505-7569
Mailing Address
-- CHARLES BLAGOVICH
6600 S YALE AVE
TULSA, OK 74136-3347
Phone number: 740-505-7569
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