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1184197899
HOLLY RENEE LAVENDER
TULSA, OK
NPI
1184197899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-01-04
Last Update Date
2023-09-28
Business Address
HOLLY RENEE LAVENDER PA-C
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-392-4685
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Mailing Address
HOLLY RENEE LAVENDER PA-C
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-392-4685
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