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1215716105
ALEXANDRA PROUGH
TULSA, OK
NPI
1215716105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
ALEXANDRA PROUGH
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 405-501-1062
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Mailing Address
ALEXANDRA PROUGH
3121 KENT DR
OKLAHOMA CITY, OK 73120-2230
Phone number:
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