CANISIA BONGFEN TATAH

TULSA, OK
NPI1114683067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-11-15
Last Update Date2021-11-15
Business Address
CANISIA BONGFEN TATAH
5209 S HARVARD AVE APT C
TULSA, OK 74135-3546
Phone number: 405-875-2075
Mailing Address
CANISIA BONGFEN TATAH
5209 S HARVARD AVE APT C
TULSA, OK 74135-3546
Phone number:
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