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1205258027
KASSANDRE S BALOCCA
TULSA, OK
NPI
1205258027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2313)
Enumeration Date
2014-01-14
Last Update Date
2014-12-01
Business Address
-- KASSANDRE S BALOCCA PA
1265 S UTICA AVE SUITE 300
TULSA, OK 74104-4243
Phone number: 918-592-0999
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Mailing Address
-- KASSANDRE S BALOCCA PA
1265 S UTICA AVE SUITE 300
TULSA, OK 74104-4243
Phone number: 918-592-0999
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