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1114502754
KJERISTA JOANN TIPTON
TULSA, OK
NPI
1114502754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OK R0080597)
Enumeration Date
2021-03-15
Last Update Date
2021-06-10
Business Address
KJERISTA JOANN TIPTON APRN
11212 E 48TH ST
TULSA, OK 74146-5824
Phone number: 918-556-3000
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Mailing Address
KJERISTA JOANN TIPTON APRN
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number:
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