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1245472059
ALYSSA CREWS BLACK
TULSA, OK
NPI
1245472059
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Former Name
ALYSSA NICOLE CREWS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2564)
Enumeration Date
2009-03-26
Last Update Date
2017-06-13
Business Address
Mrs. ALYSSA CREWS BLACK PA
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-502-3939
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Mailing Address
Mrs. ALYSSA CREWS BLACK PA
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-502-3939
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