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1295016343
LAKETA SMITH HALPINE
TULSA, OK
NPI
1295016343
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Former Name
LAKETA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: OK 5289)
Enumeration Date
2011-09-02
Last Update Date
2013-12-19
Business Address
-- LAKETA SMITH HALPINE D.O.
7010 S. UTICA AVE.
TULSA, OK 74136-3904
Phone number: 918-764-9220
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Mailing Address
-- LAKETA SMITH HALPINE D.O.
7010 S. UTICA AVE.
TULSA, OK 74136-3904
Phone number: 918-764-9220
Copy
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