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1104054147
LISHA RYANNE PORCH-PETITT
TULSA, OK
NPI
1104054147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: OK 0058269)
Enumeration Date
2009-06-29
Last Update Date
2009-07-31
Business Address
-- LISHA RYANNE PORCH-PETITT CNS
2000 S WHEELING AVE STE 200
TULSA, OK 74104-5649
Phone number: 918-748-7854
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Mailing Address
-- LISHA RYANNE PORCH-PETITT CNS
1515 N HARVARD AVE STE E
TULSA, OK 74115-4957
Phone number: 918-832-6049
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