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1164428538
CARISSA R. VANDAGRIFF
TULSA, OK
NPI
1164428538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK R0027998)
Enumeration Date
2005-06-21
Last Update Date
2010-06-11
Business Address
-- CARISSA R. VANDAGRIFF CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
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Mailing Address
-- CARISSA R. VANDAGRIFF CRNA
10920 S SANDUSKY AVE
TULSA, OK 74137-7115
Phone number: 918-299-6455
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