DEREK COLEMAN

TULSA, OK
NPI1205243060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0043900)
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- DEREK COLEMAN LPN
503 S 101ST EAST AVE
TULSA, OK 74128-2637
Phone number: 539-664-4462
Mailing Address
-- DEREK COLEMAN LPN
503 S 101ST EAST AVE
TULSA, OK 74128-2637
Phone number: 539-664-4462
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