BENJAMIN WAGGA

TULSA, OK
NPI1114761301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OK  2024027381)
Enumeration Date2024-06-21
Last Update Date2024-06-21
Business Address
BENJAMIN WAGGA
4815 S HARVARD AVE STE 360
TULSA, OK 74135-3077
Phone number: 918-876-0606
Mailing Address
BENJAMIN WAGGA
PO BOX 311
JENKS, OK 74037-0311
Phone number: 918-876-0606
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