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1194322719
SPENCER ELIJAH WOPART
TULSA, OK
NPI
1194322719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 121897)
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
Mr. SPENCER ELIJAH WOPART APRN, CNP
9311 S MINGO RD
TULSA, OK 74133-5702
Phone number: 918-307-1613
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Mailing Address
Mr. SPENCER ELIJAH WOPART APRN, CNP
9311 S MINGO RD
TULSA, OK 74133-5702
Phone number: 918-307-1613
Copy
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