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1215201967
THERESA R BASHAM-TAYLOR
TULSA, OK
NPI
1215201967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0050354)
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
Mrs. THERESA R BASHAM-TAYLOR lpn
5550 S GARNETT RD
TULSA, OK 74146-6831
Phone number: 918-665-2501
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Mailing Address
Mrs. THERESA R BASHAM-TAYLOR lpn
3518 E VIRGIN PL
TULSA, OK 74115-3922
Phone number: 918-665-2501
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