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1265096424
SOPHIA DELISE HACKNEY
TULSA, OK
NPI
1265096424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 3052)
Enumeration Date
2019-04-23
Last Update Date
2019-06-17
Business Address
Ms. SOPHIA DELISE HACKNEY PA-C
8282 S MEMORIAL DR STE 106
TULSA, OK 74133-4311
Phone number: 918-579-4200
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Mailing Address
Ms. SOPHIA DELISE HACKNEY PA-C
12112 S 83RD EAST AVE APT 422
BIXBY, OK 74008-3344
Phone number: 405-308-5490
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