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1295268449
KJETIL LAURITSEN
TULSA, OK
NPI
1295268449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2761)
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- KJETIL LAURITSEN PA-C
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-2200
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Mailing Address
-- KJETIL LAURITSEN PA-C
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number:
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