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1174602270
THERESIA VILYNE WHITESIDE
TULSA, OK
NPI
1174602270
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Former Name
THERESIA VILYNE NELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0027126)
Enumeration Date
2006-11-02
Last Update Date
2007-07-09
Business Address
Ms. THERESIA VILYNE WHITESIDE ARNP
315 S UTICA AVE
TULSA, OK 74104-2203
Phone number: 918-582-9355
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Mailing Address
Ms. THERESIA VILYNE WHITESIDE ARNP
315 S UTICA AVE
TULSA, OK 74104-2203
Phone number: 918-582-9355
Copy
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