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1235199118
STEPHANIE RUSSELL
TULSA, OK
NPI
1235199118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 932)
Enumeration Date
2006-03-24
Last Update Date
2019-05-06
Business Address
STEPHANIE RUSSELL P.A.
8115 S MEMORIAL DR
TULSA, OK 74133-4331
Phone number: 918-254-6315
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Mailing Address
STEPHANIE RUSSELL P.A.
8115 S MEMORIAL DR
TULSA, OK 74133-4331
Phone number: 918-254-6315
Copy
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