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1134963515
ALEXANDRA VICTORIA SHUMARD
TULSA, OK
NPI
1134963515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
ALEXANDRA VICTORIA SHUMARD DO
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
ALEXANDRA VICTORIA SHUMARD DO
1563 RIVERSIDE DR
TULSA, OK 74119-3815
Phone number: 405-570-9934
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